PRADEEP PATTATHAN BEKAL DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

CANCELLED

Business

First Name

PRADEEP

Middle

PATTATHAN

Last Name

BEKAL

Suffix

DDS

Business Name

PRADEEP PATTATHAN BEKAL DDS

Original Issue Date

08/11/2000

Effective Date

08/11/2000

Expiration Date

09/30/2002

City

GRANITE CITY

State

Zip

62040

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005