SAMANTHA HINDUPUR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

Title

DDS

First Name

SAMANTHA

Last Name

HINDUPUR

Business Name

SAMANTHA HINDUPUR DDS

Original Issue Date

10/27/2010

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

SAINT JOSEPH

State

Zip

64506

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016