NISHA U PATEL DDS - Dentist License in Illinois | # 018002133

NISHA U PATEL DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002133

License Status

EXPIRED

Business

N

Title

DDS

First Name

NISHA

Middle

U

Last Name

PATEL

Business Name

NISHA U PATEL DDS

Original Issue Date

05/21/2020

Effective Date

07/01/2020

Expiration Date

07/01/2021

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

11/28/2022