MITAL SURESH PATEL SPATZ DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

Title

DDS

First Name

MITAL

Middle

SURESH PATEL

Last Name

SPATZ

Business Name

MITAL SURESH PATEL SPATZ DDS

Original Issue Date

05/24/2010

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024