ROLAND SHASTRI OUTARSINGH DDS 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

ROLAND

Middle

SHASTRI

Last Name

OUTARSINGH

Suffix

DDS

Business Name

ROLAND SHASTRI OUTARSINGH DDS

Original Issue Date

04/27/1994

Effective Date

12/15/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012