MADHU SANGANUR MAHADEVAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031360

License Status

NOT RENEWED

Business

Title

DDS

First Name

MADHU

Middle

SANGANUR

Last Name

MAHADEVAN

Business Name

MADHU SANGANUR MAHADEVAN DDS

Original Issue Date

08/21/2017

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

BEVERLY HILLS

State

Zip

48025

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/09/2022