AMUL A GANDHI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

AMUL

Middle

Last Name

GANDHI

Business Name

AMUL A GANDHI

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

09/30/2009

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009