The holder whose full name is Sivaprakasam, Prathip,come from Aurora CO,hold the Dentist license(NO.12011107A) which status is Expired.
| Name | Sivaprakasam, Prathip |
|---|---|
| License Number | 12011107A |
| License Type | Dentist |
| License Status | Expired |
| City | Aurora |
| State | CO |