AMITA RASTOGI DMD - Dentist License in Illinois | # 021002339

AMITA RASTOGI DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002339

License Status

INACTIVE

Business

N

First Name

AMITA

Last Name

RASTOGI

Suffix

DMD

Business Name

AMITA RASTOGI DMD

Original Issue Date

10/21/2009

Effective Date

10/21/2009

Expiration Date

09/30/2012

State

IL

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

N

LastModifiedDate

06/06/2012