ANU OJAS WADIVKAR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

ANU

Middle

OJAS

Last Name

WADIVKAR

Suffix

DDS

Business Name

ANU OJAS WADIVKAR DDS

Original Issue Date

10/04/2002

Effective Date

11/16/2015

Expiration Date

09/30/2018

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018