PREM BHARAT PATEL MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000960

License Status

ACTIVE

Business

Title

First Name

PREM

Middle

BHARAT

Last Name

PATEL

Business Name

PREM BHARAT PATEL MD

Original Issue Date

07/28/2016

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

09/23/2024