PRAVEENA VENKATA MUDDANA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029318

License Status

NOT RENEWED

Business

Title

DDS

First Name

PRAVEENA

Middle

VENKATA

Last Name

MUDDANA

Business Name

PRAVEENA VENKATA MUDDANA DDS

Original Issue Date

03/08/2013

Effective Date

03/08/2013

Expiration Date

09/30/2015

City

OAK CREEK

State

Zip

53154

County

WISCONSIN

Ever Disciplined

LastModifiedDate

02/08/2016