ANUSHA GANGANI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

ACTIVE

Business

Title

DMD

First Name

ANUSHA

Last Name

GANGANI

Prefix

Business Name

ANUSHA GANGANI DMD

Original Issue Date

07/16/2024

Effective Date

07/16/2024

Expiration Date

09/30/2027

City

WILMETTE

State

Zip

60091

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2024