SUSAN NILESH PATEL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000835

License Status

ACTIVE

Business

First Name

SUSAN

Middle

NILESH

Last Name

PATEL

Suffix

DDS

Business Name

SUSAN NILESH PATEL DDS

Original Issue Date

02/17/2012

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

09/16/2024