JUZER M CHINWALLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

NOT RENEWED

Business

First Name

JUZER M

Last Name

CHINWALLA

Suffix

DDS

Business Name

JUZER M CHINWALLA DDS

Original Issue Date

10/20/1995

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018