SUMITRA DAS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

SUMITRA

Last Name

DAS

Business Name

SUMITRA DAS

Original Issue Date

01/01/1998

Effective Date

10/09/2012

Expiration Date

09/30/2015

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016