PRASAD B V S GONAVARUM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026542

License Status

NOT RENEWED

Business

First Name

PRASAD

Middle

B V S

Last Name

GONAVARUM

Suffix

DDS

Business Name

PRASAD B V S GONAVARUM DDS

Original Issue Date

08/16/2004

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

NAPERVILLE

State

Zip

60564

County

WILL

Ever Disciplined

LastModifiedDate

05/09/2022