SUTHANYA SRISURO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000857

License Status

NOT RENEWED

Business

First Name

SUTHANYA

Last Name

SRISURO

Suffix

DDS

Business Name

SUTHANYA SRISURO DDS

Original Issue Date

01/16/1976

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

SAINT LOUIS

State

Zip

63131

County

MISSOURI

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

11/14/2012