SRINIVASULU KAKOLLU DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

SRINIVASULU

Last Name

KAKOLLU

Suffix

DDS

Business Name

SRINIVASULU KAKOLLU DDS

Original Issue Date

07/07/2010

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

WHITESTOWN

State

Zip

46075

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024