MOHIT SATISH JETHANI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

Title

DMD

First Name

MOHIT

Middle

SATISH

Last Name

JETHANI

Business Name

MOHIT SATISH JETHANI DMD

Original Issue Date

01/20/2023

Effective Date

01/20/2023

Expiration Date

09/30/2024

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025