KEERTHI GOLLA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002442

License Status

NOT RENEWED

Business

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

City

OAKBROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

02/08/2016