GIRISH JAI BHARWANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

First Name

GIRISH

Middle

JAI

Last Name

BHARWANI

Suffix

DDS

Business Name

GIRISH JAI BHARWANI DDS

Original Issue Date

08/31/2010

Effective Date

08/31/2010

Expiration Date

09/30/2012

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/14/2012