BOLLAMMA PUCHIMADA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034071

License Status

ACTIVE

Business

First Name

BOLLAMMA

Last Name

PUCHIMADA

Business Name

BOLLAMMA PUCHIMADA

Original Issue Date

01/26/2023

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

LYTLE

State

Zip

78052

Ever Disciplined

LastModifiedDate

09/25/2024