ANUPAMA SRIDHAR DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

ACTIVE

Business

First Name

ANUPAMA

Last Name

SRIDHAR

Suffix

DDS

Business Name

ANUPAMA SRIDHAR DDS

Original Issue Date

02/23/2005

Effective Date

07/06/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2024