JYOTINDRA PRAMOD TRIVEDI DDS - Dentist License in Illinois | # 019015677

JYOTINDRA PRAMOD TRIVEDI DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015677

License Status

NOT RENEWED

Business

N

First Name

JYOTINDRA PRAMOD

Last Name

TRIVEDI

Suffix

DDS

Business Name

JYOTINDRA PRAMOD TRIVEDI DDS

Original Issue Date

09/02/1976

Effective Date

09/02/1976

Expiration Date

09/30/1984

State

IL

Ever Disciplined

Y

LastModifiedDate

10/12/2005

Case Number

1980000030

Action

Suspension

Discipline Start Date

06/23/1982

Discipline End Date

06/23/1983