AISHWARYA INDIRAMOHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

Title

DDS

First Name

AISHWARYA

Last Name

INDIRAMOHAN

Business Name

AISHWARYA INDIRAMOHAN DDS

Original Issue Date

07/23/2012

Effective Date

07/23/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016