CHARUSHILA K VIBHAKAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

NOT RENEWED

Business

First Name

CHARUSHILA K

Last Name

VIBHAKAR

Business Name

CHARUSHILA K VIBHAKAR

Original Issue Date

03/16/1983

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

LYONS

State

Zip

60534

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025