JITEN B PATEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

JITEN

Middle

Last Name

PATEL

Suffix

DDS

Business Name

JITEN B PATEL DDS

Original Issue Date

07/24/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

CICERO

State

Zip

60804

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009