ANDREA S UDITSKY-NAKISHER DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

INOPERATIVE

Business

First Name

ANDREA S

Last Name

UDITSKY-NAKISHER

Suffix

DDS

Business Name

ANDREA S UDITSKY-NAKISHER DDS

Original Issue Date

07/29/1994

Effective Date

07/29/1994

Expiration Date

09/30/1998

City

WEST BLOOMFIELD

State

Zip

48323

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005