DIVYA JAY MAKHIJA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

Title

DDS

First Name

DIVYA

Middle

JAY

Last Name

MAKHIJA

Business Name

DIVYA JAY MAKHIJA DDS

Original Issue Date

07/16/2024

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024