MITALKUMAR KALIDAS PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028300

License Status

ACTIVE

Business

First Name

MITALKUMAR

Middle

KALIDAS

Last Name

PATEL

Business Name

MITALKUMAR KALIDAS PATEL

Original Issue Date

05/26/2010

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/01/2024