GIRISH JAI BHARWANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****14

License Status

NOT RENEWED

Business

First Name

GIRISH

Middle

JAI

Last Name

BHARWANI

Suffix

DDS

Business Name

GIRISH JAI BHARWANI DDS

Original Issue Date

09/22/2010

Effective Date

09/22/2010

Expiration Date

09/30/2012

City

LINDENHURST

State

Zip

60046

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012