KASHYAP KRISHNA MADDALI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029910

License Status

ACTIVE

Business

Title

DDS

First Name

KASHYAP

Middle

KRISHNA

Last Name

MADDALI

Business Name

KASHYAP KRISHNA MADDALI DDS

Original Issue Date

07/08/2014

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/03/2024