SIREESHA BOGANATHAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029203

License Status

NOT RENEWED

Business

First Name

SIREESHA

Last Name

BOGANATHAM

Suffix

DMD

Business Name

SIREESHA BOGANATHAM DMD

Original Issue Date

08/06/2012

Effective Date

09/04/2015

Expiration Date

09/30/2018

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018