BHARATHI GORANTLA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031024

License Status

INACTIVE

Business

First Name

BHARATHI

Last Name

GORANTLA

Business Name

BHARATHI GORANTLA

Original Issue Date

01/26/2017

Effective Date

08/23/2018

Expiration Date

09/30/2021

City

NOVI

State

Zip

48374

County

NEW YORK

Ever Disciplined

LastModifiedDate

08/23/2018