THUPTARA THUPVONG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025751

License Status

ACTIVE

Business

Title

DMD

First Name

THUPTARA

Last Name

THUPVONG

Business Name

THUPTARA THUPVONG DMD

Original Issue Date

01/31/2002

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

BROWNSBURG

State

Zip

46112

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2024