CHEITALI BHANSALI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

ACTIVE

Business

Title

DMD

First Name

CHEITALI

Last Name

BHANSALI

Business Name

CHEITALI BHANSALI DMD

Original Issue Date

12/18/2009

Effective Date

05/20/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/20/2024