CHARLOTTE SUNAINA JAKKULA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

ACTIVE

Business

Title

DDS

First Name

CHARLOTTE

Middle

SUNAINA

Last Name

JAKKULA

Business Name

CHARLOTTE SUNAINA JAKKULA DDS

Original Issue Date

08/22/2017

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024