GARGI SHARMA BHAGAVATULA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

Title

DDS

First Name

GARGI

Middle

SHARMA

Last Name

BHAGAVATULA

Business Name

GARGI SHARMA BHAGAVATULA DDS

Original Issue Date

06/14/2016

Effective Date

06/14/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60605

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2022