MUFADDAL FAKHRUDDIN KAPADIA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

MUFADDAL

Middle

FAKHRUDDIN

Last Name

KAPADIA

Business Name

MUFADDAL FAKHRUDDIN KAPADIA

Original Issue Date

07/06/2010

Effective Date

07/06/2010

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60609

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012