JITEN B PATEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

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

07/24/2002

Expiration Date

09/30/2004

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005