RONALD L GUTTU DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

RONALD

Middle

Last Name

GUTTU

Suffix

DDS

Business Name

RONALD L GUTTU DDS

Original Issue Date

12/08/2006

Effective Date

12/08/2006

Expiration Date

09/30/2009

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009