AMRITA KAUR RAKALLA DDS,MS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

Title

DDS,MS

First Name

AMRITA

Middle

KAUR

Last Name

RAKALLA

Business Name

AMRITA KAUR RAKALLA DDS,MS

Original Issue Date

06/20/2012

Effective Date

06/20/2012

Expiration Date

09/30/2015

City

CLARENDON HILLS

State

Zip

60514

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016