RADHIKA SANJAY RAWAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

Title

DDS

First Name

RADHIKA

Middle

SANJAY

Last Name

RAWAL

Business Name

RADHIKA SANJAY RAWAL DDS

Original Issue Date

06/29/2015

Effective Date

06/29/2015

Expiration Date

09/30/2018

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018