NISHI HARIDAS VAKHARIA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

NISHI

Middle

HARIDAS

Last Name

VAKHARIA

Business Name

NISHI HARIDAS VAKHARIA

Original Issue Date

08/12/1998

Effective Date

08/12/1998

Expiration Date

09/30/2002

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005