AEKTA FIFADARA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

AEKTA

Last Name

FIFADARA

Suffix

DMD

Business Name

AEKTA FIFADARA DMD

Original Issue Date

11/05/2010

Effective Date

11/05/2010

Expiration Date

09/30/2012

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/14/2012