URVI SHUKLA GANGER DDS - Dentist License in Illinois | # 018002019

URVI SHUKLA GANGER DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002019

License Status

EXPIRED

Business

N

Title

DDS

First Name

URVI

Middle

SHUKLA

Last Name

GANGER

Business Name

URVI SHUKLA GANGER DDS

Original Issue Date

05/22/2017

Effective Date

06/24/2017

Expiration Date

06/30/2018

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/25/2018