PRAVEEN KUMAR GAJENDRAREDDY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

ACTIVE

Business

First Name

PRAVEEN

Middle

KUMAR

Last Name

GAJENDRAREDDY

Suffix

DDS

Business Name

PRAVEEN KUMAR GAJENDRAREDDY DDS

Original Issue Date

06/20/2011

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/08/2024