PRAVEEN KUMAR GAJENDRAREDDY DDS - Dentist License in Illinois | # 136000136

PRAVEEN KUMAR GAJENDRAREDDY DDS

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000136

License Status

EXPIRED

Business

N

First Name

PRAVEEN

Middle

KUMAR

Last Name

GAJENDRAREDDY

Suffix

DDS

Business Name

PRAVEEN KUMAR GAJENDRAREDDY DDS

Original Issue Date

08/22/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

07/19/2011