ROSHAN J 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

ROSHAN

Middle

Last Name

PATEL

Prefix

Business Name

ROSHAN J PATEL

Original Issue Date

09/22/2021

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

ADDISON

State

Zip

60101

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2024