NIDHI AGARWAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

NIDHI

Last Name

AGARWAL

Business Name

NIDHI AGARWAL

Original Issue Date

06/29/2010

Effective Date

06/29/2010

Expiration Date

09/30/2012

City

ALBUQUERQUE

State

Zip

87122

County

NEW MEXICO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012