SHANKY M BALCHANDANI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

Title

DDS

First Name

SHANKY

Middle

Last Name

BALCHANDANI

Business Name

SHANKY M BALCHANDANI DDS

Original Issue Date

01/19/2024

Effective Date

01/19/2024

Expiration Date

09/30/2024

City

NORTH PROVIDENCE

State

Zip

02911

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025