JIMIT R KHAKHAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

NOT RENEWED

Business

First Name

JIMIT

Middle

Last Name

KHAKHAR

Business Name

JIMIT R KHAKHAR

Original Issue Date

07/12/2012

Effective Date

07/12/2012

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016