GEORGEA BABY THEKKETHOTTIYIL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029190

License Status

INACTIVE

Business

First Name

GEORGEA

Middle

BABY

Last Name

THEKKETHOTTIYIL

Suffix

DDS

Business Name

GEORGEA BABY THEKKETHOTTIYIL DDS

Original Issue Date

07/31/2012

Effective Date

07/31/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

06/08/2015