KETAN BEDMUTHA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

ACTIVE

Business

Title

DMD

First Name

KETAN

Last Name

BEDMUTHA

Business Name

KETAN BEDMUTHA DMD

Original Issue Date

09/04/2019

Effective Date

09/02/2024

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

09/02/2024