GEETHA SHANKAR NARAYAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

Title

DDS

First Name

GEETHA

Last Name

SHANKAR NARAYAN

Business Name

GEETHA SHANKAR NARAYAN DDS

Original Issue Date

05/23/2016

Effective Date

05/23/2016

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

10/31/2018