SAKUNTHALA CHUKKAPALLI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

SAKUNTHALA

Last Name

CHUKKAPALLI

Business Name

SAKUNTHALA CHUKKAPALLI

Original Issue Date

02/20/2009

Effective Date

02/20/2009

Expiration Date

09/30/2009

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009