SAKUNTHALA CHUKKAPALLI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

SAKUNTHALA

Last Name

CHUKKAPALLI

Business Name

SAKUNTHALA CHUKKAPALLI

Original Issue Date

01/14/2009

Effective Date

09/09/2009

Expiration Date

09/30/2012

City

ELGIN

State

Zip

60120

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012