SUTHANYA SRISURO DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014770

License Status

INACTIVE

Business

First Name

SUTHANYA

Last Name

SRISURO

Suffix

DDS

Business Name

SUTHANYA SRISURO DDS

Original Issue Date

12/17/1973

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

SAINT LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/07/2018