INTHUMATHY SIVANANTHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

INTHUMATHY

Last Name

SIVANANTHAN

Suffix

DDS

Business Name

INTHUMATHY SIVANANTHAN DDS

Original Issue Date

12/06/2019

Effective Date

12/06/2019

Expiration Date

01/31/2022

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022