SUNEEL KUMAR NAMBURI MDS MDFS RCPS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

Title

RCPS DMD

First Name

SUNEEL

Middle

KUMAR

Last Name

NAMBURI

Suffix

MDS MDFS

Business Name

SUNEEL KUMAR NAMBURI MDS MDFS RCPS DMD

Original Issue Date

08/01/2013

Effective Date

08/01/2013

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016