MARY DIYA CHALAVEETIL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034475

License Status

ACTIVE

Business

First Name

MARY DIYA

Last Name

CHALAVEETIL

Business Name

MARY DIYA CHALAVEETIL

Original Issue Date

06/30/2023

Effective Date

06/15/2024

Expiration Date

09/30/2027

City

BARTLETT

State

Zip

60103

County

ADAMS

Ever Disciplined

LastModifiedDate

06/15/2024