AJITH RENGARAJAN MANIPALA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035234

License Status

ACTIVE

Business

Title

DDS

First Name

AJITH

Middle

RENGARAJAN

Last Name

MANIPALA

Business Name

AJITH RENGARAJAN MANIPALA DDS

Original Issue Date

06/20/2024

Effective Date

06/20/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/01/2024