HETALKUMAR B PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

ACTIVE

Business

First Name

HETALKUMAR

Middle

Last Name

PATEL

Business Name

HETALKUMAR B PATEL

Original Issue Date

08/10/2007

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024