MANASA KANNEGANTI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034523

License Status

ACTIVE

Business

Title

DDS

First Name

MANASA

Last Name

KANNEGANTI

Business Name

MANASA KANNEGANTI DDS

Original Issue Date

07/18/2023

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/06/2024