PRUTHA S DESAI DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

ACTIVE

Business

Title

DMD

First Name

PRUTHA

Middle

Last Name

DESAI

Business Name

PRUTHA S DESAI DMD

Original Issue Date

06/08/2016

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60563

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024