APARNA GOTTUMUKKULA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

APARNA

Last Name

GOTTUMUKKULA

Suffix

DMD

Business Name

APARNA GOTTUMUKKULA DMD

Original Issue Date

03/29/2005

Effective Date

05/17/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60586

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2024