SMITHA CHOWDARY KANCHERLA 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

SMITHA

Middle

CHOWDARY

Last Name

KANCHERLA

Business Name

SMITHA CHOWDARY KANCHERLA

Original Issue Date

07/01/2008

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

W CHICAGO

State

Zip

60185

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012