PRAKASH K UPADHYAYA DDS - Dentist License in Illinois | # 019015678

PRAKASH K UPADHYAYA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015678

License Status

NOT RENEWED

Business

N

First Name

PRAKASH K

Last Name

UPADHYAYA

Suffix

DDS

Business Name

PRAKASH K UPADHYAYA DDS

Original Issue Date

09/02/1976

Effective Date

09/30/2021

Expiration Date

09/30/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/04/2025