CHIRAG N DESAI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

CHIRAG

Middle

Last Name

DESAI

Suffix

DMD

Business Name

CHIRAG N DESAI DMD

Original Issue Date

06/13/2005

Effective Date

05/29/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

05/29/2024