SHILPA P MAILAPUR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

SHILPA

Middle

Last Name

MAILAPUR

Business Name

SHILPA P MAILAPUR

Original Issue Date

03/29/2007

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

HOMEWOOD

State

Zip

60430

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2024