SUSAN NILESH PATEL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

ACTIVE

Business

First Name

SUSAN

Middle

NILESH

Last Name

PATEL

Suffix

DDS

Business Name

SUSAN NILESH PATEL DDS

Original Issue Date

08/28/2002

Effective Date

09/16/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/16/2024