MAITREYI GOKUL MEHTA - Dentist License in Illinois | # 018001669

MAITREYI GOKUL MEHTA

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001669

License Status

EXPIRED

Business

N

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

State

IL

Specialty/Qualifier

Prosthodontics

Ever Disciplined

N

LastModifiedDate

07/31/2008