SRUTHI SASI PRAKASH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034795

License Status

NOT RENEWED

Business

Title

DDS

First Name

SRUTHI

Last Name

SASI PRAKASH

Business Name

SRUTHI SASI PRAKASH DDS

Original Issue Date

02/06/2024

Effective Date

02/06/2024

Expiration Date

09/30/2024

City

JAMESTOWN

State

Zip

27282

Ever Disciplined

LastModifiedDate

02/04/2025