BANDANA BISTA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028629

License Status

NOT RENEWED

Business

First Name

BANDANA

Last Name

BISTA

Suffix

DDS

Business Name

BANDANA BISTA DDS

Original Issue Date

06/03/2011

Effective Date

07/18/2012

Expiration Date

09/30/2015

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/08/2016