ARUNA KUNTUMALLA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

ARUNA

Last Name

KUNTUMALLA

Business Name

ARUNA KUNTUMALLA

Original Issue Date

08/03/2015

Effective Date

08/03/2015

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018