AMIT SUD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

NOT RENEWED

Business

First Name

AMIT

Last Name

SUD

Suffix

DDS

Business Name

AMIT SUD DDS

Original Issue Date

11/02/2006

Effective Date

11/02/2006

Expiration Date

09/30/2009

City

OSWEGO

State

Zip

60543

County

KENDALL

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/04/2009