MAHARUKH E KRAVICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

MAHARUKH E

Last Name

KRAVICH

Business Name

MAHARUKH E KRAVICH

Original Issue Date

07/15/1986

Effective Date

09/29/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012