AISHWARYA SUBRAMANIAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

First Name

AISHWARYA

Last Name

SUBRAMANIAN

Business Name

AISHWARYA SUBRAMANIAN

Original Issue Date

06/17/2021

Effective Date

06/17/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025