RASHMI A SHUKLA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

RASHMI

Middle

Last Name

SHUKLA

Suffix

DDS

Business Name

RASHMI A SHUKLA DDS

Original Issue Date

11/12/1998

Effective Date

11/12/1998

Expiration Date

09/30/2000

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005