NEENA BHOLE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

Title

DMD

First Name

NEENA

Last Name

BHOLE

Business Name

NEENA BHOLE DMD

Original Issue Date

06/23/2011

Effective Date

10/01/2015

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