LAKSHMI SUJATHA BOYAPATI BDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

NOT RENEWED

Business

First Name

LAKSHMI

Middle

SUJATHA

Last Name

BOYAPATI

Suffix

BDS

Business Name

LAKSHMI SUJATHA BOYAPATI BDS

Original Issue Date

03/23/2007

Effective Date

03/23/2007

Expiration Date

09/30/2009

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/04/2009