License Type:
Dentist
License Number:
2901600602
Name:
Nisha Vasu Sridharan
License Issue Date:
08/03/2020
License Expiration Date:
08/03/2026
License Status:
Active
County:
Wayne
City:
Northville
State or Province:
Michigan
ZIP or Postal Code:
48168
CS Record Number:
5315220934
CS Status:
CS Expiration Date: