PRAVEEN KUMAR GAJENDRAREDDY DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000136

License Status

EXPIRED

Business

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

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2011