RAMESHCHANDRA D SAMPAT DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

CANCELLED

Business

Title

DDS

First Name

RAMESHCHANDRA

Middle

Last Name

SAMPAT

Business Name

RAMESHCHANDRA D SAMPAT DDS

Original Issue Date

06/04/1992

Effective Date

06/04/1992

Expiration Date

09/30/1992

City

STEGER

State

Zip

60475

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005