KHEYA SAM PATEL - Dentist License in Illinois | # 019034374

KHEYA SAM PATEL

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034374

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/02/2024