SHALINI SAGI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

NOT RENEWED

Business

First Name

SHALINI

Last Name

SAGI

Suffix

DDS

Business Name

SHALINI SAGI DDS

Original Issue Date

01/05/2007

Effective Date

09/05/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016