CRYSTAL RAMESH PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

RAMESH

Last Name

PATEL

Business Name

CRYSTAL RAMESH PATEL

Original Issue Date

06/04/2010

Effective Date

08/13/2024

Expiration Date

09/30/2027

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/13/2024