SHIVANI DESAI ADVANI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

ACTIVE

Business

Title

DMD

First Name

SHIVANI

Middle

DESAI

Last Name

ADVANI

Business Name

SHIVANI DESAI ADVANI DMD

Original Issue Date

07/16/2014

Effective Date

09/28/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/28/2024