KHEYA SAM PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034374

License Status

ACTIVE

Business

First Name

KHEYA

Middle

SAM

Last Name

PATEL

Business Name

KHEYA SAM PATEL

Original Issue Date

06/10/2023

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/02/2024