ANIL PRAKASH GUDAPATI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001289

License Status

NOT RENEWED

Business

First Name

ANIL

Middle

PRAKASH

Last Name

GUDAPATI

Business Name

ANIL PRAKASH GUDAPATI

Original Issue Date

07/09/2001

Effective Date

07/09/2001

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005