SHRASTA TAYO TAMRAKAR DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

Title

DMD

First Name

SHRASTA

Middle

TAYO

Last Name

TAMRAKAR

Business Name

SHRASTA TAYO TAMRAKAR DMD

Original Issue Date

07/20/2022

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2024