Shelly Gupta Penumalli Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019026749

Status

Expired (Not Renewed)

First issued

May 31, 2005

Expired

September 30, 2009

License holder

Shelly Gupta Penumalli Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

10/01/2006

Other Illinois licenses under this name

• IL
  Shelly Gupta Penumalli Dmd

  License 31*****29

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Chicago, IL

  Expired Sep 30, 2009

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