NIYATI S PATEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

NIYATI

Middle

Last Name

PATEL

Business Name

NIYATI S PATEL

Original Issue Date

02/02/2012

Effective Date

02/02/2012

Expiration Date

09/30/2012

City

SANTA CRUZ

State

Zip

95060

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/14/2012