SATISH K GOTTUMUKKULA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****15

License Status

ACTIVE

Business

First Name

SATISH

Middle

Last Name

GOTTUMUKKULA

Suffix

DMD

Business Name

SATISH K GOTTUMUKKULA DMD

Original Issue Date

12/27/2004

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024