VIDESH D DESHMUKH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000036

License Status

NOT RENEWED

Business

First Name

VIDESH

Middle

Last Name

DESHMUKH

Business Name

VIDESH D DESHMUKH

Original Issue Date

06/15/1995

Effective Date

06/15/1995

Expiration Date

05/01/1998

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/13/2005