CAROLINE SHEPHERD PATT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

ACTIVE

Business

First Name

CAROLINE

Last Name

SHEPHERD PATT

Business Name

CAROLINE SHEPHERD PATT

Original Issue Date

11/02/2006

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

MUNDELEIN

State

Zip

60060

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024