VIJAYA LAXMI CHEETHIRALA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

ACTIVE

Business

Title

DMD

First Name

VIJAYA

Middle

LAXMI

Last Name

CHEETHIRALA

Business Name

VIJAYA LAXMI CHEETHIRALA DMD

Original Issue Date

07/19/2011

Effective Date

07/29/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60502

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/29/2024