PRANAV Y PATEL DDS - Dentist License in Illinois | # 018001268

PRANAV Y PATEL DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001268

License Status

EXPIRED

Business

N

First Name

PRANAV

Middle

Y

Last Name

PATEL

Suffix

DDS

Business Name

PRANAV Y PATEL DDS

Original Issue Date

06/13/2001

Effective Date

06/13/2001

Expiration Date

06/30/2003

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005