ROLLIN PRASAD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

ROLLIN

Last Name

PRASAD

Suffix

DMD

Business Name

ROLLIN PRASAD DMD

Original Issue Date

05/16/2007

Effective Date

05/16/2007

Expiration Date

09/30/2009

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009