SHREYA REDDY SWARNA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

Title

DMD

First Name

SHREYA REDDY

Last Name

SWARNA

Business Name

SHREYA REDDY SWARNA DMD

Original Issue Date

07/11/2024

Effective Date

07/11/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2024