SHILAM SHIRISH 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

SHILAM

Middle

SHIRISH

Last Name

PATEL

Business Name

SHILAM SHIRISH PATEL DMD

Original Issue Date

06/08/2017

Effective Date

10/02/2020

Expiration Date

01/31/2022

City

SCHILLER PARK

State

Zip

60176

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022