SHRUTI DHIRENDRA VASANI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035555

License Status

ACTIVE

Business

First Name

SHRUTI

Middle

DHIRENDRA

Last Name

VASANI

Business Name

SHRUTI DHIRENDRA VASANI

Original Issue Date

10/16/2024

Effective Date

10/16/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/24/2025