POORNIMA S GANGAJI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

ACTIVE

Business

Title

DMD

First Name

POORNIMA

Middle

Last Name

GANGAJI

Business Name

POORNIMA S GANGAJI DMD

Original Issue Date

08/17/2020

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

AURORA

State

Zip

60502

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024