PRAVEENA BORRA - Dentist License in Illinois | # 018001618

PRAVEENA BORRA

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001618

License Status

EXPIRED

Business

N

First Name

PRAVEENA

Last Name

BORRA

Business Name

PRAVEENA BORRA

Original Issue Date

11/13/2006

Effective Date

11/13/2006

Expiration Date

07/31/2007

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

08/29/2007