NIRAV VISHNUPRASAD PATEL - Dentist License in New York | # 31*****26

NIRAV VISHNUPRASAD PATEL

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

N

First Name

NIRAV

Middle

VISHNUPRASAD

Last Name

PATEL

Business Name

NIRAV VISHNUPRASAD PATEL

Original Issue Date

01/20/2016

Effective Date

01/20/2016

Expiration Date

09/30/2018

State

NY

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/31/2018