ROOPA SHANKARRAO ABDULLA 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

ROOPA SHANKARRAO

Last Name

ABDULLA

Business Name

ROOPA SHANKARRAO ABDULLA

Original Issue Date

09/13/1982

Effective Date

09/13/1982

Expiration Date

09/30/2002

City

LYONS

State

Zip

60534

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005