KRISHNA D GORANTLA - Dentist License in Illinois | # 019030203

KRISHNA D GORANTLA

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030203

License Status

NOT RENEWED

Business

N

First Name

KRISHNA

Middle

D

Last Name

GORANTLA

Business Name

KRISHNA D GORANTLA

Original Issue Date

06/18/2015

Effective Date

06/18/2015

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018