NIKITA B VAKIL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

First Name

NIKITA

Middle

Last Name

VAKIL

Suffix

DMD

Business Name

NIKITA B VAKIL DMD

Original Issue Date

12/05/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/04/2009