SUSHMA MANNIMALA DDS - Dentist License in Illinois | # 019036616

SUSHMA MANNIMALA DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019036616

License Status

ACTIVE

Business

N

Title

DDS

First Name

SUSHMA

Last Name

MANNIMALA

Business Name

SUSHMA MANNIMALA DDS

Original Issue Date

10/31/2025

Effective Date

10/31/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/13/2025