SUPRITHA VENKATESH HANGAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

Title

DDS

First Name

SUPRITHA

Middle

VENKATESH

Last Name

HANGAL

Business Name

SUPRITHA VENKATESH HANGAL DDS

Original Issue Date

09/13/2012

Effective Date

09/13/2012

Expiration Date

09/30/2015

City

CLEVELAND

State

Zip

44130

County

OHIO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016