DEEPIKA ANKIREDDY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

DEEPIKA

Last Name

ANKIREDDY

Business Name

DEEPIKA ANKIREDDY

Original Issue Date

05/09/2018

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024