CHETAN SHIVARAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025551

License Status

NOT RENEWED

Business

First Name

CHETAN

Last Name

SHIVARAM

Business Name

CHETAN SHIVARAM

Original Issue Date

05/24/2001

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

LAS CRUCES

State

Zip

88011

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/08/2006