PRAVEEN KUMAR GAJENDRAREDDY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000817

License Status

ACTIVE

Business

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

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

05/08/2024