SAMIR MAHENDRA PATEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

Title

DMD

First Name

SAMIR

Middle

MAHENDRA

Last Name

PATEL

Business Name

SAMIR MAHENDRA PATEL DMD

Original Issue Date

10/24/2013

Effective Date

05/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2024