CHEITALI BHANSALI DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****54

License Status

NOT RENEWED

Business

Title

DMD

First Name

CHEITALI

Last Name

BHANSALI

Business Name

CHEITALI BHANSALI DMD

Original Issue Date

08/05/2009

Effective Date

08/05/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60647

County

COOK

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/14/2012