PRAVEEN KUMAR GAJENDRAREDDY DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001451

License Status

EXPIRED

Business

First Name

PRAVEEN

Middle

KUMAR

Last Name

GAJENDRAREDDY

Suffix

DDS

Business Name

PRAVEEN KUMAR GAJENDRAREDDY DDS

Original Issue Date

05/24/2004

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

07/31/2008