SHAKUNTALA ADATIA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****05

License Status

INACTIVE

Business

First Name

SHAKUNTALA

Last Name

ADATIA

Suffix

DDS

Business Name

SHAKUNTALA ADATIA DDS

Original Issue Date

11/04/1983

Effective Date

11/08/2018

Expiration Date

12/31/2021

City

AURORA

State

Zip

60505

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/21/2021