JYOTIRMAIE SURYADEVARA DMD - Dentist License in Illinois | # 021003258

JYOTIRMAIE SURYADEVARA DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003258

License Status

ACTIVE

Business

N

Title

DMD

First Name

JYOTIRMAIE

Last Name

SURYADEVARA

Business Name

JYOTIRMAIE SURYADEVARA DMD

Original Issue Date

06/07/2023

Effective Date

08/10/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

N

LastModifiedDate

08/10/2024