MANISHA VASRAMBHAI DESAI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****29

License Status

ACTIVE

Business

First Name

MANISHA

Middle

VASRAMBHAI

Last Name

DESAI

Business Name

MANISHA VASRAMBHAI DESAI

Original Issue Date

06/01/2009

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024