License Directory

Anusha Kotha

Inactive

Illinois license 019031954

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
019031954
Status
Inactive
First issued
January 3, 2019
Expired
September 30, 2021
License holder
Anusha Kotha
Entity type
Individual

Classifications

  • Licensed Dentist (Dental) Dental

More from the license record

Current term began
01/03/2019

Contact

Phoenix, AZ 85024