JAI KRISHNA SRIKANTH KOLLIBOYANA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032253

License Status

NOT RENEWED

Business

Title

DDS

First Name

JAI KRISHNA SRIKANTH

Last Name

KOLLIBOYANA

Business Name

JAI KRISHNA SRIKANTH KOLLIBOYANA DDS

Original Issue Date

07/19/2019

Effective Date

07/19/2019

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022