PRIYA T PUROHIT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

NOT RENEWED

Business

Title

DMD

First Name

PRIYA

Middle

Last Name

PUROHIT

Business Name

PRIYA T PUROHIT DMD

Original Issue Date

09/06/2019

Effective Date

09/06/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60619

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022