DEEPTHA SURAMPUDI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

Title

DDS

First Name

DEEPTHA

Last Name

SURAMPUDI

Business Name

DEEPTHA SURAMPUDI DDS

Original Issue Date

09/17/2014

Effective Date

11/23/2021

Expiration Date

09/30/2024

City

WHEELING

State

Zip

60090

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025