BHAKTI KIRANBHAI DESAI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

Title

DMD

First Name

BHAKTI

Middle

KIRANBHAI

Last Name

DESAI

Business Name

BHAKTI KIRANBHAI DESAI DMD

Original Issue Date

11/01/2022

Effective Date

05/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2024