SREEKANTH KANAGARLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

SREEKANTH

Last Name

KANAGARLA

Suffix

DDS

Business Name

SREEKANTH KANAGARLA DDS

Original Issue Date

06/29/2010

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018