MANJU SURESH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

First Name

MANJU

Last Name

SURESH

Business Name

MANJU SURESH

Original Issue Date

10/23/2019

Effective Date

08/18/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60564

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/18/2024