ANOUSHKA JOANNA TANDON Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

CANCELLED

Business

First Name

ANOUSHKA

Middle

JOANNA

Last Name

TANDON

Business Name

ANOUSHKA JOANNA TANDON

Original Issue Date

08/25/2004

Effective Date

08/25/2004

Expiration Date

09/30/2006

City

ADDISON

State

Zip

60101

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005