NIYATI BHAKTA - Dentist License in Missouri | # 31*****02

NIYATI BHAKTA

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

ACTIVE

Business

N

First Name

NIYATI

Last Name

BHAKTA

Business Name

NIYATI BHAKTA

Original Issue Date

07/29/2024

Effective Date

07/29/2024

Expiration Date

09/30/2027

State

MO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

07/29/2024