KASHYAP KRISHNA MADDALI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****96

License Status

NOT RENEWED

Business

Title

DDS

First Name

KASHYAP

Middle

KRISHNA

Last Name

MADDALI

Business Name

KASHYAP KRISHNA MADDALI DDS

Original Issue Date

07/17/2014

Effective Date

08/27/2015

Expiration Date

09/30/2018

City

WHEELING

State

Zip

60090

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2026