JUZER M CHINWALLA 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

JUZER M

Last Name

CHINWALLA

Suffix

DDS

Business Name

JUZER M CHINWALLA DDS

Original Issue Date

12/08/2009

Effective Date

12/08/2009

Expiration Date

09/30/2012

City

DARIEN

State

Zip

60561

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012