SRUTHA KEERTHI CHEBOLU DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DDS

First Name

SRUTHA KEERTHI

Last Name

CHEBOLU

Business Name

SRUTHA KEERTHI CHEBOLU DDS

Original Issue Date

06/19/2020

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024