SUNDARA RAO RAMADURGAM DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

Title

DDS

First Name

SUNDARA

Middle

RAO

Last Name

RAMADURGAM

Business Name

SUNDARA RAO RAMADURGAM DDS

Original Issue Date

07/31/2014

Effective Date

08/25/2024

Expiration Date

09/30/2027

City

HENDERSON

State

Zip

89012

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2024