PRASANTH DOMMARAJU Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032098

License Status

ACTIVE

Business

First Name

PRASANTH

Last Name

DOMMARAJU

Business Name

PRASANTH DOMMARAJU

Original Issue Date

05/22/2019

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2025