KRUPA PATEL BORDATTO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029869

License Status

ACTIVE

Business

Title

DDS

First Name

KRUPA

Middle

PATEL

Last Name

BORDATTO

Business Name

KRUPA PATEL BORDATTO DDS

Original Issue Date

06/27/2014

Effective Date

08/20/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

08/20/2024