SANDEEP THOTA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030311

License Status

ACTIVE

Business

Title

DMD

First Name

SANDEEP

Last Name

THOTA

Business Name

SANDEEP THOTA DMD

Original Issue Date

07/16/2015

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/03/2024