VATSALA JAJOO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

Title

DMD

First Name

VATSALA

Last Name

JAJOO

Business Name

VATSALA JAJOO DMD

Original Issue Date

07/02/2010

Effective Date

07/19/2018

Expiration Date

01/31/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022