CYRIL PANDARAKALAM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

CYRIL

Last Name

PANDARAKALAM

Suffix

DDS

Business Name

CYRIL PANDARAKALAM DDS

Original Issue Date

04/20/2011

Effective Date

07/09/2018

Expiration Date

01/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022