LAVANYA SIREESHA PUTCHALA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035032

License Status

ACTIVE

Business

Title

DDS

First Name

LAVANYA

Middle

SIREESHA

Last Name

PUTCHALA

Business Name

LAVANYA SIREESHA PUTCHALA DDS

Original Issue Date

05/09/2024

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

03/29/2024