ANIL PRAKASH GUDAPATI Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025970

License Status

INACTIVE

Business

First Name

ANIL

Middle

PRAKASH

Last Name

GUDAPATI

Business Name

ANIL PRAKASH GUDAPATI

Original Issue Date

09/18/2002

Effective Date

09/18/2002

Expiration Date

09/30/2004

City

PHILADELPHIA

State

Zip

19106

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/17/2005