BHAVIK KAMALKUMAR PANDYA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

NOT RENEWED

Business

Title

DMD

First Name

BHAVIK

Middle

KAMALKUMAR

Last Name

PANDYA

Business Name

BHAVIK KAMALKUMAR PANDYA DMD

Original Issue Date

05/21/2012

Effective Date

09/16/2015

Expiration Date

09/30/2018

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018