SAMIR NANJAPA DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

CANCELLED

Business

First Name

SAMIR

Last Name

NANJAPA

Suffix

DDS

Business Name

SAMIR NANJAPA DDS

Original Issue Date

03/19/2004

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2009