SAMANTHA KOTHAPALLI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

KOTHAPALLI

Suffix

DMD

Business Name

SAMANTHA KOTHAPALLI DMD

Original Issue Date

08/08/2005

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

OSWEGO

State

Zip

60543

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024