MANOGNA DEEPTHI YAKASIRI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032341

License Status

NOT RENEWED

Business

Title

DDS

First Name

MANOGNA

Middle

DEEPTHI

Last Name

YAKASIRI

Business Name

MANOGNA DEEPTHI YAKASIRI DDS

Original Issue Date

08/12/2019

Effective Date

12/30/2021

Expiration Date

09/30/2024

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

02/04/2025