REVATI KANHOBA SHENAVI KELUSAKAR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002270

License Status

ACTIVE

Business

First Name

REVATI

Middle

KANHOBA

Last Name

SHENAVI KELUSAKAR

Business Name

REVATI KANHOBA SHENAVI KELUSAKAR

Original Issue Date

06/04/2024

Effective Date

07/01/2024

Expiration Date

05/11/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

06/04/2024