PRIYANKA V TRIVEDI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

ACTIVE

Business

Title

DMD

First Name

PRIYANKA

Middle

Last Name

TRIVEDI

Business Name

PRIYANKA V TRIVEDI DMD

Original Issue Date

08/21/2021

Effective Date

08/03/2024

Expiration Date

09/30/2027

City

ANTIOCH

State

Zip

60002

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/03/2024