BHOOMI DEVEN KOTAK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031413

License Status

NOT RENEWED

Business

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

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

10/31/2018