SIVAN PATEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

First Name

SIVAN

Last Name

PATEL

Suffix

DMD

Business Name

SIVAN PATEL DMD

Original Issue Date

09/30/2009

Effective Date

07/10/2024

Expiration Date

09/30/2027

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2024