NISHA PATEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

Title

DMD

First Name

NISHA

Last Name

PATEL

Business Name

NISHA PATEL DMD

Original Issue Date

08/28/2023

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

ELK GROVE VILLAGE

State

Zip

60007

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2024