NISHA JETHANI DDS - Dentist License in Illinois | # 018001105

NISHA JETHANI DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001105

License Status

NOT RENEWED

Business

N

First Name

NISHA

Last Name

JETHANI

Suffix

DDS

Business Name

NISHA JETHANI DDS

Original Issue Date

07/17/1998

Effective Date

07/17/1998

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005