SHIVAM S PATEL - Dentist License in Illinois | # 019029081

SHIVAM S PATEL

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029081

License Status

ACTIVE

Business

N

First Name

SHIVAM

Middle

S

Last Name

PATEL

Business Name

SHIVAM S PATEL

Original Issue Date

06/20/2012

Effective Date

05/07/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

06/02/2025