MONICA R PATEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

Title

DMD

First Name

MONICA

Middle

Last Name

PATEL

Business Name

MONICA R PATEL DMD

Original Issue Date

07/20/2022

Effective Date

07/20/2022

Expiration Date

09/30/2024

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025