PRIYA A PUROHIT 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

PRIYA

Middle

Last Name

PUROHIT

Suffix

DDS

Business Name

PRIYA A PUROHIT DDS

Original Issue Date

03/03/2008

Effective Date

10/15/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016