SHITALBEN R PATEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

SHITALBEN

Middle

Last Name

PATEL

Suffix

DMD

Business Name

SHITALBEN R PATEL DMD

Original Issue Date

10/27/2008

Effective Date

07/18/2012

Expiration Date

09/30/2015

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016