BHUMI B DESAI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

BHUMI

Middle

Last Name

DESAI

Suffix

DDS

Business Name

BHUMI B DESAI DDS

Original Issue Date

08/17/2017

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

BOLINGBROOK

State

Zip

60440

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022