CHENNAPUR G RAMMOHAN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

ACTIVE

Business

Title

DMD

First Name

CHENNAPUR

Middle

Last Name

RAMMOHAN

Business Name

CHENNAPUR G RAMMOHAN DMD

Original Issue Date

05/04/1990

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024