UDAY BALKRISHNA PHATAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018029

License Status

NOT RENEWED

Business

First Name

UDAY BALKRISHNA

Last Name

PHATAK

Business Name

UDAY BALKRISHNA PHATAK

Original Issue Date

06/28/1982

Effective Date

12/21/2021

Expiration Date

09/30/2024

City

WHEELING

State

Zip

60090

County

COOK

Ever Disciplined

LastModifiedDate

02/04/2025

Case Number

1992001382

Action

Probation

Discipline Start Date

08/13/1993

Discipline End Date

08/12/1995

Discipline Reason

Alleged insurance irregularities and recordkeeping deficiencies.