NISHA JETHANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

NISHA

Last Name

JETHANI

Suffix

DDS

Business Name

NISHA JETHANI DDS

Original Issue Date

04/20/1999

Effective Date

04/20/1999

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005