TULASI S GAJULA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

Title

DDS

First Name

TULASI

Middle

Last Name

GAJULA

Business Name

TULASI S GAJULA DDS

Original Issue Date

07/24/2012

Effective Date

07/24/2012

Expiration Date

09/30/2015

City

CLOVIS

State

Zip

88101

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016