CHANDANI HARISH SHUKLA - Dentist License in Illinois | # 018002167

CHANDANI HARISH SHUKLA

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002167

License Status

EXPIRED

Business

N

First Name

CHANDANI

Middle

HARISH

Last Name

SHUKLA

Business Name

CHANDANI HARISH SHUKLA

Original Issue Date

07/28/2020

Effective Date

07/28/2020

Expiration Date

05/17/2023

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

01/08/2025