VENKATA PRASADA SANKU LAKSHMI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

Title

DDS

First Name

VENKATA

Middle

PRASADA

Last Name

SANKU LAKSHMI

Business Name

VENKATA PRASADA SANKU LAKSHMI DDS

Original Issue Date

05/12/2017

Effective Date

05/12/2017

Expiration Date

09/30/2018

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018