SUJATA PRADHAN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

11/14/2012