CHAITRA RAO AITHAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHAITRA

Middle

RAO

Last Name

AITHAL

Business Name

CHAITRA RAO AITHAL DDS

Original Issue Date

08/31/2009

Effective Date

08/30/2012

Expiration Date

09/30/2015

City

HOFFMAN ESTATES

State

Zip

60192

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016