SAMANVITA GUPTA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015085

License Status

NOT RENEWED

Business

First Name

SAMANVITA

Last Name

GUPTA

Business Name

SAMANVITA GUPTA

Original Issue Date

07/20/2015

Effective Date

07/20/2015

Expiration Date

09/30/2018

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018