NISHITA SURENDRA GOHEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

NISHITA

Middle

SURENDRA

Last Name

GOHEL

Business Name

NISHITA SURENDRA GOHEL

Original Issue Date

07/14/2021

Effective Date

07/14/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025