VANESHA MISTRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

VANESHA

Last Name

MISTRY

Business Name

VANESHA MISTRY

Original Issue Date

08/25/2021

Effective Date

08/25/2021

Expiration Date

09/30/2024

City

NORTHBROOK

State

Zip

60062

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/24/2025