SOHA D PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

ACTIVE

Business

First Name

SOHA

Middle

Last Name

PATEL

Business Name

SOHA D PATEL

Original Issue Date

08/24/2019

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

SOUTH ELGIN

State

Zip

60177

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024