PREETHA PANOSE KANJIRATH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

PREETHA

Middle

PANOSE

Last Name

KANJIRATH

Business Name

PREETHA PANOSE KANJIRATH

Original Issue Date

08/18/2015

Effective Date

08/18/2015

Expiration Date

09/30/2018

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018