ERIC A MITRA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

MITRA

Suffix

DDS

Business Name

ERIC A MITRA DDS

Original Issue Date

07/03/2007

Effective Date

09/04/2012

Expiration Date

09/30/2015

City

SUGAR GROVE

State

Zip

60554

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016