PRATIK PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****28

License Status

ACTIVE

Business

First Name

PRATIK

Last Name

PATEL

Business Name

PRATIK PATEL

Original Issue Date

06/18/2015

Effective Date

05/22/2024

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

05/22/2024