NIPA SHAILESH KULENKAMP DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

Title

DMD

First Name

NIPA

Middle

SHAILESH

Last Name

KULENKAMP

Business Name

NIPA SHAILESH KULENKAMP DMD

Original Issue Date

09/16/2014

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

LAS VEGAS

State

Zip

89138

County

CLARK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018