SHIVAM YOGESH MEHTA Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002051

License Status

EXPIRED

Business

First Name

SHIVAM

Middle

YOGESH

Last Name

MEHTA

Business Name

SHIVAM YOGESH MEHTA

Original Issue Date

08/28/2017

Effective Date

06/01/2017

Expiration Date

05/30/2018

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

07/19/2018