SAMIR NANJAPA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000092

License Status

EXPIRED

Business

First Name

SAMIR

Last Name

NANJAPA

Suffix

DDS

Business Name

SAMIR NANJAPA DDS

Original Issue Date

09/03/2003

Effective Date

09/03/2003

Expiration Date

08/15/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005