SHIVANIBEN A 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

SHIVANIBEN

Middle

Last Name

PATEL

Business Name

SHIVANIBEN A PATEL DMD

Original Issue Date

06/24/2022

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

DES PLAINES

State

Zip

60018

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/09/2024