SHANTHA MURTHY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

SHANTHA

Last Name

MURTHY

Suffix

DDS

Business Name

SHANTHA MURTHY DDS

Original Issue Date

08/25/2003

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022