AMITA RASTOGI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

NOT RENEWED

Business

First Name

AMITA

Last Name

RASTOGI

Suffix

DMD

Business Name

AMITA RASTOGI DMD

Original Issue Date

11/20/2009

Effective Date

11/20/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012