KINNARY B DESAI Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

ACTIVE

Business

First Name

KINNARY

Middle

Last Name

DESAI

Business Name

KINNARY B DESAI

Original Issue Date

06/12/2020

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024