DIBYENDU PRIYAKA MEHTA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018615

License Status

ACTIVE

Business

First Name

DIBYENDU PRIYAKA

Last Name

MEHTA

Business Name

DIBYENDU PRIYAKA MEHTA

Original Issue Date

07/25/1983

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2024