GITA RAMAN PATEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001162

License Status

NOT RENEWED

Business

First Name

GITA

Middle

RAMAN

Last Name

PATEL

Suffix

DMD

Business Name

GITA RAMAN PATEL DMD

Original Issue Date

06/09/1999

Effective Date

06/09/1999

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005