RAMYA SIDDAIAH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

RAMYA

Last Name

SIDDAIAH

Business Name

RAMYA SIDDAIAH

Original Issue Date

02/04/2022

Effective Date

02/04/2022

Expiration Date

09/30/2024

City

CAPE GIRARDEAU

State

Zip

63701

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025