NIRA SHASHIKANT PATEL Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001768

License Status

EXPIRED

Business

First Name

NIRA

Middle

SHASHIKANT

Last Name

PATEL

Business Name

NIRA SHASHIKANT PATEL

Original Issue Date

06/18/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018