KRUNAL MAHENDRAKUMAR PUNJABI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

KRUNAL

Middle

MAHENDRAKUMAR

Last Name

PUNJABI

Business Name

KRUNAL MAHENDRAKUMAR PUNJABI

Original Issue Date

07/08/2022

Effective Date

07/08/2022

Expiration Date

09/30/2024

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/04/2025