MANSI SANJAY RAINA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

First Name

MANSI

Middle

SANJAY

Last Name

RAINA

Business Name

MANSI SANJAY RAINA

Original Issue Date

07/25/2017

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2024