MANASA KANNEGANTI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

ACTIVE

Business

Title

DDS

First Name

MANASA

Last Name

KANNEGANTI

Business Name

MANASA KANNEGANTI DDS

Original Issue Date

08/17/2023

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024