AJITHA PARUCHURI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

AJITHA

Last Name

PARUCHURI

Suffix

DDS

Business Name

AJITHA PARUCHURI DDS

Original Issue Date

02/17/2006

Effective Date

12/17/2021

Expiration Date

09/30/2024

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025