MAYANK RATILAL ADATIA DDS - Dentist License in Illinois | # 31*****94

MAYANK RATILAL ADATIA DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

NOT RENEWED

Business

N

First Name

MAYANK RATILAL

Last Name

ADATIA

Suffix

DDS

Business Name

MAYANK RATILAL ADATIA DDS

Original Issue Date

11/04/1983

Effective Date

08/09/2010

Expiration Date

09/30/2012

State

IL

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/14/2012