KEERTHI GOLLA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026086

License Status

NOT RENEWED

Business

First Name

KEERTHI

Last Name

GOLLA

Suffix

DMD

Business Name

KEERTHI GOLLA DMD

Original Issue Date

04/16/2003

Effective Date

08/01/2012

Expiration Date

09/30/2015

City

SAN FRANCISCO

State

Zip

94112

Ever Disciplined

LastModifiedDate

02/08/2016