DHARA PRASHANT PATEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****22

License Status

ACTIVE

Business

Title

DMD

First Name

DHARA

Middle

PRASHANT

Last Name

PATEL

Business Name

DHARA PRASHANT PATEL DMD

Original Issue Date

07/05/2016

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024