PRAVEEN KUMAR GAJENDRAREDDY DDS - Dentist License in Illinois | # 021002403

PRAVEEN KUMAR GAJENDRAREDDY DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002403

License Status

ACTIVE

Business

N

First Name

PRAVEEN

Middle

KUMAR

Last Name

GAJENDRAREDDY

Suffix

DDS

Business Name

PRAVEEN KUMAR GAJENDRAREDDY DDS

Original Issue Date

07/05/2011

Effective Date

05/08/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

N

LastModifiedDate

05/08/2024