TRUPTI VANRAJ DESAI 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

TRUPTI

Middle

VANRAJ

Last Name

DESAI

Business Name

TRUPTI VANRAJ DESAI

Original Issue Date

11/15/2007

Effective Date

11/12/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018