PRATIKSHA AGRAWAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

PRATIKSHA

Last Name

AGRAWAL

Business Name

PRATIKSHA AGRAWAL

Original Issue Date

04/11/2017

Effective Date

06/07/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022