SAMHITHA PASUPULETI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

ACTIVE

Business

Title

DMD

First Name

SAMHITHA

Last Name

PASUPULETI

Business Name

SAMHITHA PASUPULETI DMD

Original Issue Date

11/09/2023

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60564

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/04/2024