PRAVEEN KUMAR GONUGUNTLA KAMMA DMD - Dentist License in Illinois | # 019032826

PRAVEEN KUMAR GONUGUNTLA KAMMA DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032826

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

PRAVEEN KUMAR

Last Name

GONUGUNTLA KAMMA

Business Name

PRAVEEN KUMAR GONUGUNTLA KAMMA DMD

Original Issue Date

07/21/2020

Effective Date

07/21/2020

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022