MADHURI DEVI PUNATY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

First Name

MADHURI

Middle

DEVI

Last Name

PUNATY

Suffix

DMD

Business Name

MADHURI DEVI PUNATY DMD

Original Issue Date

09/04/2003

Effective Date

09/04/2003

Expiration Date

09/30/2004

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005