SHANTHA MURTHY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

First Name

SHANTHA

Last Name

MURTHY

Suffix

DDS

Business Name

SHANTHA MURTHY DDS

Original Issue Date

01/01/1998

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

FARMINGTON

State

Zip

61531

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018