MITRA S PANDYA DMD - Dentist License in Illinois | # 018001654

MITRA S PANDYA DMD

Business Entity

CANCELLED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001654

License Status

CANCELLED

Business

N

Title

DMD

First Name

MITRA

Middle

S

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

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018