PRIYANKA ASSUDANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

PRIYANKA

Last Name

ASSUDANI

Suffix

DDS

Business Name

PRIYANKA ASSUDANI DDS

Original Issue Date

03/07/2012

Effective Date

06/29/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60601

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016