MADHULI BHIDE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

MADHULI

Last Name

BHIDE

Business Name

MADHULI BHIDE

Original Issue Date

11/15/2022

Effective Date

11/15/2022

Expiration Date

09/30/2024

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025