DHIVYALAKSHMI MANAVAZHAGAN DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

Title

DDS

First Name

DHIVYALAKSHMI

Last Name

MANAVAZHAGAN

Business Name

DHIVYALAKSHMI MANAVAZHAGAN DDS

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

09/30/2027

City

ANN ARBOR

State

Zip

48105

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025