NEIL BHARGAVA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****08

License Status

NOT RENEWED

Business

First Name

NEIL

Last Name

BHARGAVA

Business Name

NEIL BHARGAVA

Original Issue Date

04/24/2002

Effective Date

04/24/2002

Expiration Date

09/30/2004

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005