NISHA B PATEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001049

License Status

NOT RENEWED

Business

First Name

NISHA

Middle

Last Name

PATEL

Business Name

NISHA B PATEL

Original Issue Date

07/15/1997

Effective Date

07/15/1997

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005