PRAVEENA BORRA Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001618

License Status

EXPIRED

Business

First Name

PRAVEENA

Last Name

BORRA

Business Name

PRAVEENA BORRA

Original Issue Date

11/13/2006

Effective Date

11/13/2006

Expiration Date

07/31/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

08/29/2007