SIRISHA PULAPAKA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

Title

DDS

First Name

SIRISHA

Last Name

PULAPAKA

Business Name

SIRISHA PULAPAKA DDS

Original Issue Date

07/31/2012

Effective Date

07/19/2015

Expiration Date

09/30/2018

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018