BHUMI S DALAL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

ACTIVE

Business

First Name

BHUMI

Middle

Last Name

DALAL

Business Name

BHUMI S DALAL

Original Issue Date

04/14/2022

Effective Date

09/01/2024

Expiration Date

09/30/2027

City

HOMEWOOD

State

Zip

60430

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/01/2024