JAY A PATEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023935

License Status

NOT RENEWED

Business

First Name

JAY A

Last Name

PATEL

Suffix

DDS

Business Name

JAY A PATEL DDS

Original Issue Date

08/26/1995

Effective Date

08/26/1995

Expiration Date

09/30/1998

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/12/2005