MANSI MAHENDRA MEHTA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

ACTIVE

Business

First Name

MANSI

Middle

MAHENDRA

Last Name

MEHTA

Business Name

MANSI MAHENDRA MEHTA

Original Issue Date

01/15/2019

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

BOLINGBROOK

State

Zip

60490

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024