NIVEDITHA RAJAGOPALAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

NOT RENEWED

Business

Title

DMD

First Name

NIVEDITHA

Last Name

RAJAGOPALAN

Business Name

NIVEDITHA RAJAGOPALAN DMD

Original Issue Date

07/06/2016

Effective Date

07/06/2016

Expiration Date

09/30/2018

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018