ESHA VIJAYKUMAR BHATT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

ACTIVE

Business

First Name

ESHA

Middle

VIJAYKUMAR

Last Name

BHATT

Business Name

ESHA VIJAYKUMAR BHATT

Original Issue Date

12/28/2022

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/20/2024