TRUPTI DIWAKAR NADKARNI DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

CANCELLED

Business

First Name

TRUPTI

Middle

DIWAKAR

Last Name

NADKARNI

Suffix

DMD

Business Name

TRUPTI DIWAKAR NADKARNI DMD

Original Issue Date

01/27/2000

Effective Date

01/27/2000

Expiration Date

09/30/2006

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006