ANAND MAYANK ADATIA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

ANAND

Middle

MAYANK

Last Name

ADATIA

Suffix

DMD

Business Name

ANAND MAYANK ADATIA DMD

Original Issue Date

08/22/2011

Effective Date

09/04/2015

Expiration Date

09/30/2018

City

NAPERVILLE

State

Zip

60565

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018