VIKRAM ARUN RAJADHYAKSHA DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

CANCELLED

Business

First Name

VIKRAM

Middle

ARUN

Last Name

RAJADHYAKSHA

Suffix

DMD

Business Name

VIKRAM ARUN RAJADHYAKSHA DMD

Original Issue Date

05/26/2000

Effective Date

05/26/2000

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006