PRUTHA S DESAI DMD - Dentist License in Illinois | # 019030690

PRUTHA S DESAI DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030690

License Status

ACTIVE

Business

N

Title

DMD

First Name

PRUTHA

Middle

S

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2024