DIPA PATEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

NOT RENEWED

Business

Title

DDS

First Name

DIPA

Last Name

PATEL

Business Name

DIPA PATEL DDS

Original Issue Date

10/03/2019

Effective Date

10/03/2019

Expiration Date

01/31/2022

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/09/2022