SUJATA PRADHAN DDS - Dentist License in Illinois | # 019028782

SUJATA PRADHAN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028782

License Status

NOT RENEWED

Business

N

First Name

SUJATA

Last Name

PRADHAN

Suffix

DDS

Business Name

SUJATA PRADHAN DDS

Original Issue Date

07/19/2011

Effective Date

07/19/2011

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

11/14/2012