BALASUDHA BALADHANDAYUTHAM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030939

License Status

NOT RENEWED

Business

First Name

BALASUDHA

Last Name

BALADHANDAYUTHAM

Business Name

BALASUDHA BALADHANDAYUTHAM

Original Issue Date

08/16/2016

Effective Date

08/16/2016

Expiration Date

09/30/2018

City

ROCHESTER

State

Zip

14620

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/31/2018