SUBBASHINI MARIMUTHU DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

ACTIVE

Business

First Name

SUBBASHINI

Last Name

MARIMUTHU

Suffix

DMD

Business Name

SUBBASHINI MARIMUTHU DMD

Original Issue Date

01/02/2003

Effective Date

07/30/2024

Expiration Date

09/30/2027

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/30/2024