PALLAVIKA N PATEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011526

License Status

NOT RENEWED

Business

First Name

PALLAVIKA

Middle

Last Name

PATEL

Business Name

PALLAVIKA N PATEL

Original Issue Date

09/29/2005

Effective Date

01/11/2007

Expiration Date

09/30/2009

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2009