KISHORE V SHETTY DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****94

License Status

INOPERATIVE

Business

First Name

KISHORE

Middle

Last Name

SHETTY

Suffix

DDS

Business Name

KISHORE V SHETTY DDS

Original Issue Date

12/09/2014

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2021