SIVAKUMAR SREENIVASAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023755

License Status

NOT RENEWED

Business

First Name

SIVAKUMAR

Last Name

SREENIVASAN

Suffix

DMD

Business Name

SIVAKUMAR SREENIVASAN DMD

Original Issue Date

11/23/1994

Effective Date

11/23/1994

Expiration Date

09/30/1996

City

WEST ORANGE

State

Zip

07052

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/12/2005