ASHU RANI BANSAL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

ACTIVE

Business

Title

DDS

First Name

ASHU

Middle

RANI

Last Name

BANSAL

Business Name

ASHU RANI BANSAL DDS

Original Issue Date

06/17/2014

Effective Date

05/07/2024

Expiration Date

09/30/2027

City

HOMER GLEN

State

Zip

60497

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/07/2024