INTHUMATHY SIVANANTHAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

INTHUMATHY

Last Name

SIVANANTHAN

Suffix

DDS

Business Name

INTHUMATHY SIVANANTHAN DDS

Original Issue Date

03/02/1994

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ROMEOVILLE

State

Zip

60446

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2024