KHEYA SAM PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003495

License Status

ACTIVE

Business

First Name

KHEYA

Middle

SAM

Last Name

PATEL

Business Name

KHEYA SAM PATEL

Original Issue Date

11/19/2025

Effective Date

11/19/2025

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

LastModifiedDate

10/06/2025