HARSHALA B CHAVAN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

ACTIVE

Business

First Name

HARSHALA

Middle

Last Name

CHAVAN

Business Name

HARSHALA B CHAVAN

Original Issue Date

03/03/2020

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2024