NICKU RENEE KESHAVARZ DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002262

License Status

EXPIRED

Business

Title

DDS

First Name

NICKU

Middle

RENEE

Last Name

KESHAVARZ

Business Name

NICKU RENEE KESHAVARZ DDS

Original Issue Date

05/30/2024

Effective Date

06/24/2024

Expiration Date

06/30/2025

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/29/2025