LAKSHMI NAVYATHA SAJJA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

ACTIVE

Business

First Name

LAKSHMI NAVYATHA

Last Name

SAJJA

Business Name

LAKSHMI NAVYATHA SAJJA

Original Issue Date

07/14/2021

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024