PRITAM S DANG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

PRITAM S

Last Name

DANG

Business Name

PRITAM S DANG

Original Issue Date

03/15/1995

Effective Date

07/25/2012

Expiration Date

09/30/2015

City

ELGIN

State

Zip

60120

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016