NISHA MEHTA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

NISHA

Last Name

MEHTA

Suffix

DDS

Business Name

NISHA MEHTA DDS

Original Issue Date

06/11/2010

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2024