KEERTHI GOLLA DMD - Dentist License in Illinois | # 021002442

KEERTHI GOLLA DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002442

License Status

NOT RENEWED

Business

N

First Name

KEERTHI

Last Name

GOLLA

Suffix

DMD

Business Name

KEERTHI GOLLA DMD

Original Issue Date

02/02/2012

Effective Date

08/01/2012

Expiration Date

09/30/2015

State

IL

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

N

LastModifiedDate

02/08/2016