SIDDHARTH BANSAL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028736

License Status

ACTIVE

Business

First Name

SIDDHARTH

Last Name

BANSAL

Suffix

DMD

Business Name

SIDDHARTH BANSAL DMD

Original Issue Date

07/06/2011

Effective Date

07/02/2024

Expiration Date

09/30/2027

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

07/02/2024