SAMANTHA KOTHAPALLI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026775

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

KOTHAPALLI

Suffix

DMD

Business Name

SAMANTHA KOTHAPALLI DMD

Original Issue Date

06/13/2005

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

08/23/2024