PROMILA MARWAHA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

PROMILA

Last Name

MARWAHA

Business Name

PROMILA MARWAHA

Original Issue Date

04/24/1990

Effective Date

08/26/2009

Expiration Date

09/30/2012

City

HINCKLEY

State

Zip

60520

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012