Bollamma Puchimada
ActiveIllinois license 019034071
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019034071
- Status
- Active
- First issued
- January 26, 2023
- Expires
- September 30, 2027
- License holder
- Bollamma Puchimada
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 09/25/2024
Contact
Lytle, TX 78052