SASEELAN SIVAGNANAM BDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

ACTIVE

Business

Title

BDS

First Name

SASEELAN

Last Name

SIVAGNANAM

Business Name

SASEELAN SIVAGNANAM BDS

Original Issue Date

08/16/2011

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024