DIVYA AMBARISH PATHAK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015410

License Status

NOT RENEWED

Business

First Name

DIVYA AMBARISH

Last Name

PATHAK

Suffix

DDS

Business Name

DIVYA AMBARISH PATHAK DDS

Original Issue Date

03/15/1976

Effective Date

03/15/1976

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005