MITRA S PANDYA DMD Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001654

License Status

CANCELLED

Business

Title

DMD

First Name

MITRA

Middle

Last Name

PANDYA

Business Name

MITRA S PANDYA DMD

Original Issue Date

08/20/2007

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018