MEENAKSHI B UMAPATHY 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

MEENAKSHI

Middle

Last Name

UMAPATHY

Business Name

MEENAKSHI B UMAPATHY

Original Issue Date

09/26/2011

Effective Date

06/06/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016