SAMANVITA GUPTA - Dentist License in Illinois | # 020015085

SAMANVITA GUPTA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015085

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/31/2018