SANDHYA GRACE PALLAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

SANDHYA

Middle

GRACE

Last Name

PALLAM

Suffix

DDS

Business Name

SANDHYA GRACE PALLAM DDS

Original Issue Date

09/17/2021

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024