HARI PRIYA ANNE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

Title

DDS

First Name

HARI PRIYA

Last Name

ANNE

Business Name

HARI PRIYA ANNE DDS

Original Issue Date

08/04/2015

Effective Date

09/13/2018

Expiration Date

01/31/2022

City

GRANGER

State

Zip

46530

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022