JAY K PATEL DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001686

License Status

EXPIRED

Business

Title

DMD

First Name

JAY

Middle

Last Name

PATEL

Business Name

JAY K PATEL DMD

Original Issue Date

06/03/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

07/15/2009