RAMYA PRIYA NEELI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

RAMYA

Middle

PRIYA

Last Name

NEELI

Business Name

RAMYA PRIYA NEELI

Original Issue Date

09/23/2021

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

NORMAL

State

Zip

61761

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024