POONAM DILIP SOLANKI BDS, MSD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

Title

BDS, MSD

First Name

POONAM

Middle

DILIP

Last Name

SOLANKI

Business Name

POONAM DILIP SOLANKI BDS, MSD

Original Issue Date

08/05/2015

Effective Date

11/14/2021

Expiration Date

09/30/2024

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025