VIBHA BABBAR SHANKARA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

Title

DMD

First Name

VIBHA

Middle

BABBAR

Last Name

SHANKARA

Business Name

VIBHA BABBAR SHANKARA DMD

Original Issue Date

10/05/2017

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/02/2024