SAMIRA MUKKAMALA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

Title

DMD

First Name

SAMIRA

Last Name

MUKKAMALA

Business Name

SAMIRA MUKKAMALA DMD

Original Issue Date

12/13/2024

Effective Date

12/13/2024

Expiration Date

09/30/2027

City

WARRENVILLE

State

Zip

60555

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2025