SHITALBEN R PATEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027824

License Status

NOT RENEWED

Business

First Name

SHITALBEN

Middle

Last Name

PATEL

Suffix

DMD

Business Name

SHITALBEN R PATEL DMD

Original Issue Date

09/30/2008

Effective Date

07/18/2012

Expiration Date

09/30/2015

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/08/2016