KOKILA P AVASTHI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

NOT RENEWED

Business

First Name

KOKILA P

Last Name

AVASTHI

Business Name

KOKILA P AVASTHI

Original Issue Date

06/17/1991

Effective Date

12/01/2021

Expiration Date

09/30/2024

City

PARK CITY

State

Zip

60074

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025