JAYASRI SRINIVASAN DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

INACTIVE

Business

Title

DMD

First Name

JAYASRI

Last Name

SRINIVASAN

Business Name

JAYASRI SRINIVASAN DMD

Original Issue Date

06/07/2011

Effective Date

08/06/2018

Expiration Date

01/31/2022

City

SAMMAMISH

State

Zip

98074

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/16/2022