BHAIRAVI PARU SHETH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

BHAIRAVI

Middle

PARU

Last Name

SHETH

Suffix

DMD

Business Name

BHAIRAVI PARU SHETH DMD

Original Issue Date

04/10/2007

Effective Date

04/10/2007

Expiration Date

09/30/2009

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009