PRIYA T PUROHIT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

NOT RENEWED

Business

Title

DMD

First Name

PRIYA

Middle

Last Name

PUROHIT

Business Name

PRIYA T PUROHIT DMD

Original Issue Date

03/31/2015

Effective Date

12/16/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60630

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018