PRIYA N DIXIT - Dentist License in Illinois | # 018001097

PRIYA N DIXIT

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001097

License Status

NOT RENEWED

Business

N

First Name

PRIYA

Middle

N

Last Name

DIXIT

Business Name

PRIYA N DIXIT

Original Issue Date

06/24/1998

Effective Date

06/24/1998

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018