SHRUTI GANDHI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

SHRUTI

Last Name

GANDHI

Business Name

SHRUTI GANDHI

Original Issue Date

08/15/2019

Effective Date

10/01/2021

Expiration Date

09/30/2024

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/04/2025