AMISH V DESAI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

ACTIVE

Business

First Name

AMISH

Middle

Last Name

DESAI

Business Name

AMISH V DESAI

Original Issue Date

04/19/2002

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

EAST DUNDEE

State

Zip

60118

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024