JASBIR DEOL UPADHYAYA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

ACTIVE

Business

First Name

JASBIR

Middle

DEOL

Last Name

UPADHYAYA

Business Name

JASBIR DEOL UPADHYAYA

Original Issue Date

06/28/2018

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2024