PUSHPAK NARAYANA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

PUSHPAK

Last Name

NARAYANA

Business Name

PUSHPAK NARAYANA

Original Issue Date

09/04/2012

Effective Date

09/04/2012

Expiration Date

09/30/2015

City

WEST ORANGE

State

Zip

07052

County

NEW JERSEY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/08/2016