VEERDHAVAL VISHWASRAO PITALE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

VEERDHAVAL

Last Name

VISHWASRAO PITALE

Business Name

VEERDHAVAL VISHWASRAO PITALE

Original Issue Date

07/13/1992

Effective Date

07/13/1992

Expiration Date

09/30/1998

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005