NISHA BALWANT CHAUHAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

NISHA

Middle

BALWANT

Last Name

CHAUHAN

Business Name

NISHA BALWANT CHAUHAN

Original Issue Date

08/28/2017

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60630

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025