MITRA S PANDYA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

Title

DMD

First Name

MITRA

Middle

Last Name

PANDYA

Business Name

MITRA S PANDYA DMD

Original Issue Date

08/03/2010

Effective Date

08/13/2012

Expiration Date

09/30/2015

City

HOUSTON

State

Zip

77005

County

TEXAS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016