MANIKA AGARWAL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

NOT RENEWED

Business

Title

DMD

First Name

MANIKA

Last Name

AGARWAL

Business Name

MANIKA AGARWAL DMD

Original Issue Date

01/20/2017

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022