NISHA B PATEL - Dentist License in Illinois | # 018001049

NISHA B PATEL

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001049

License Status

NOT RENEWED

Business

N

First Name

NISHA

Middle

B

Last Name

PATEL

Business Name

NISHA B PATEL

Original Issue Date

07/15/1997

Effective Date

07/15/1997

Expiration Date

06/30/1998

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005