BHAVANI VENKATACHALAM DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

BHAVANI

Last Name

VENKATACHALAM

Suffix

DMD

Business Name

BHAVANI VENKATACHALAM DMD

Original Issue Date

01/26/2011

Effective Date

01/26/2011

Expiration Date

09/30/2012

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/14/2012