DHARATI KISHOR PATEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

NOT RENEWED

Business

First Name

DHARATI

Middle

KISHOR

Last Name

PATEL

Suffix

DMD

Business Name

DHARATI KISHOR PATEL DMD

Original Issue Date

08/27/2008

Effective Date

09/21/2009

Expiration Date

09/30/2012

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012