SIRISHA GOGINENI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

Title

DDS

First Name

SIRISHA

Last Name

GOGINENI

Business Name

SIRISHA GOGINENI DDS

Original Issue Date

09/10/2012

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024