BHOOMI DEVEN KOTAK - Dentist License in Illinois | # 019031413

BHOOMI DEVEN KOTAK

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031413

License Status

NOT RENEWED

Business

N

First Name

BHOOMI

Middle

DEVEN

Last Name

KOTAK

Business Name

BHOOMI DEVEN KOTAK

Original Issue Date

09/25/2017

Effective Date

09/25/2017

Expiration Date

09/30/2018

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018