DIVYA R KRISHNA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

ACTIVE

Business

Title

DMD

First Name

DIVYA

Middle

Last Name

KRISHNA

Business Name

DIVYA R KRISHNA DMD

Original Issue Date

10/31/2006

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

ROUND LAKE

State

Zip

60073

County

LAKE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024