MITAL SURESH PATEL SPATZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000840

License Status

ACTIVE

Business

Title

DDS

First Name

MITAL

Middle

SURESH PATEL

Last Name

SPATZ

Business Name

MITAL SURESH PATEL SPATZ DDS

Original Issue Date

05/24/2012

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/18/2024