MANISHA GANDHI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

MANISHA

Last Name

GANDHI

Suffix

DDS

Business Name

MANISHA GANDHI DDS

Original Issue Date

08/02/2007

Effective Date

07/30/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012