MEGHANA VISHWANATH PRABHA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

Title

DDS

First Name

MEGHANA

Middle

VISHWANATH

Last Name

PRABHA

Business Name

MEGHANA VISHWANATH PRABHA DDS

Original Issue Date

07/25/2016

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024