DIKSHA AGRAWAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

Title

DDS

First Name

DIKSHA

Last Name

AGRAWAL

Business Name

DIKSHA AGRAWAL DDS

Original Issue Date

06/09/2021

Effective Date

06/09/2021

Expiration Date

09/30/2024

City

ROCHESTER

State

Zip

55904

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025