KRISHNA D GORANTLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030203

License Status

NOT RENEWED

Business

First Name

KRISHNA

Middle

Last Name

GORANTLA

Business Name

KRISHNA D GORANTLA

Original Issue Date

06/18/2015

Effective Date

06/18/2015

Expiration Date

09/30/2018

City

FLORA

State

Zip

62839

County

CLAY

Ever Disciplined

LastModifiedDate

10/31/2018