SUNITHA ANN JOSEPH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

Title

DDS

First Name

SUNITHA

Middle

ANN

Last Name

JOSEPH

Business Name

SUNITHA ANN JOSEPH DDS

Original Issue Date

09/17/2021

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/07/2024