NISHA JETHANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001105

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005