AMITA RASTOGI DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002339

License Status

INACTIVE

Business

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

06/06/2012