Praveen Kumar Gonuguntla Kamma Dmd
ExpiredIllinois license 31*****02
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****02
- Status
- Expired (Not Renewed)
- First issued
- August 21, 2020
- Expired
- January 31, 2022
- License holder
- Praveen Kumar Gonuguntla Kamma
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Specialty
- Practitioner
- Controlled substance schedules
- II III IV V
- Current term began
- 08/21/2020
Other Illinois licenses under this name
-
IL
Praveen Kumar Gonuguntla Kamma DmdLicense 019032826 · Praveen Kumar Gonuguntla KammaLicensed Dentist (Dental)ExpiredEdwardsville, ILExpired Jan 31, 2022
Contact
Edwardsville, IL 62025
Madison County