SIRISHA GOVINDAIAH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

SIRISHA

Last Name

GOVINDAIAH

Suffix

DDS

Business Name

SIRISHA GOVINDAIAH DDS

Original Issue Date

03/25/2019

Effective Date

08/17/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2024