PRASANTH DOMMARAJU - Dentist License in Illinois | # 019032098

PRASANTH DOMMARAJU

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032098

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/02/2025