JAGRUTI C DUDHATRA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

ACTIVE

Business

First Name

JAGRUTI

Middle

Last Name

DUDHATRA

Business Name

JAGRUTI C DUDHATRA

Original Issue Date

07/20/2022

Effective Date

09/05/2024

Expiration Date

09/30/2027

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/05/2024