SASANKOTI MOHAN RAVI PRAKASH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

Title

DMD

First Name

SASANKOTI MOHAN

Last Name

RAVI PRAKASH

Business Name

SASANKOTI MOHAN RAVI PRAKASH DMD

Original Issue Date

05/05/2025

Effective Date

05/05/2025

Expiration Date

09/30/2027

City

HARTSVILLE

State

Zip

29550

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2025