JAY K PATEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028171

License Status

NOT RENEWED

Business

Title

DMD

First Name

JAY

Middle

Last Name

PATEL

Business Name

JAY K PATEL DMD

Original Issue Date

12/01/2009

Effective Date

08/15/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016