MAITREYI GOKUL MEHTA Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001669

License Status

EXPIRED

Business

First Name

MAITREYI

Middle

GOKUL

Last Name

MEHTA

Business Name

MAITREYI GOKUL MEHTA

Original Issue Date

11/08/2007

Effective Date

11/08/2007

Expiration Date

07/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Prosthodontics

Ever Disciplined

LastModifiedDate

07/31/2008