PRAMOD TADAKAMALLA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

Title

DDS

First Name

PRAMOD

Last Name

TADAKAMALLA

Business Name

PRAMOD TADAKAMALLA DDS

Original Issue Date

07/18/2017

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024