DEEPAN PRAVIN PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

ACTIVE

Business

First Name

DEEPAN

Middle

PRAVIN

Last Name

PATEL

Business Name

DEEPAN PRAVIN PATEL

Original Issue Date

10/15/2010

Effective Date

09/22/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/22/2024