SIRISHA GOVINDAIAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001025

License Status

ACTIVE

Business

First Name

SIRISHA

Last Name

GOVINDAIAH

Suffix

DDS

Business Name

SIRISHA GOVINDAIAH DDS

Original Issue Date

06/10/2019

Effective Date

08/17/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

08/17/2024