DEEPA S BHATT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

ACTIVE

Business

First Name

DEEPA

Middle

Last Name

BHATT

Business Name

DEEPA S BHATT

Original Issue Date

10/06/2006

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60613

County

COOK

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024