SINDHURA GUNDARPI THIPPAREDDY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

SINDHURA

Last Name

GUNDARPI THIPPAREDDY

Business Name

SINDHURA GUNDARPI THIPPAREDDY

Original Issue Date

03/23/2012

Effective Date

03/23/2012

Expiration Date

09/30/2012

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/14/2012