PRUTHA S DESAI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030690

License Status

ACTIVE

Business

Title

DMD

First Name

PRUTHA

Middle

Last Name

DESAI

Business Name

PRUTHA S DESAI DMD

Original Issue Date

06/08/2016

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60563

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2024