HARI MUKUND DESAI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****78

License Status

NOT RENEWED

Business

First Name

HARI

Middle

MUKUND

Last Name

DESAI

Business Name

HARI MUKUND DESAI

Original Issue Date

06/14/2004

Effective Date

12/31/2021

Expiration Date

09/30/2024

City

INDIANAPOLIS

State

Zip

46237

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025