SHIVAM MEHTA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034656

License Status

INACTIVE

Business

First Name

SHIVAM

Last Name

MEHTA

Business Name

SHIVAM MEHTA

Original Issue Date

10/18/2023

Effective Date

09/26/2024

Expiration Date

09/30/2027

City

DALLAS

State

Zip

75246

Ever Disciplined

LastModifiedDate

10/18/2024