SANDHYA GRACE PALLAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

ACTIVE

Business

First Name

SANDHYA

Middle

GRACE

Last Name

PALLAM

Suffix

DDS

Business Name

SANDHYA GRACE PALLAM DDS

Original Issue Date

07/05/2007

Effective Date

07/25/2024

Expiration Date

09/30/2027

City

PALATINE

State

Zip

60074

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2024