PARIMAL G SAPOVADIA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

PARIMAL G

Last Name

SAPOVADIA

Suffix

DMD

Business Name

PARIMAL G SAPOVADIA DMD

Original Issue Date

07/06/2010

Effective Date

10/01/2012

Expiration Date

09/30/2015

City

JANESVILLE

State

Zip

53545

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2015