License Directory

Chetan Shivaram

Expired

Illinois license 019025551

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
019025551
Status
Expired (Not Renewed)
First issued
May 24, 2001
Expired
September 30, 2006
License holder
Chetan Shivaram
Entity type
Individual

Classifications

  • Licensed Dentist (Dental) Dental

More from the license record

Current term began
09/30/2004

Contact

Las Cruces, NM 88011
New Mexico County