R KOUSALYA REDDY DDS - Dentist License in Illinois | # 019015063

R KOUSALYA REDDY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015063

License Status

NOT RENEWED

Business

N

First Name

R KOUSALYA

Last Name

REDDY

Suffix

DDS

Business Name

R KOUSALYA REDDY DDS

Original Issue Date

01/14/1975

Effective Date

11/12/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018