JYOTHI DEENA DAYALU NAIDU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

Title

DDS

First Name

JYOTHI

Middle

DEENA

Last Name

DAYALU NAIDU

Business Name

JYOTHI DEENA DAYALU NAIDU DDS

Original Issue Date

09/05/2017

Effective Date

12/13/2021

Expiration Date

09/30/2024

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025