NISHA PATEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

Title

DDS

First Name

NISHA

Last Name

PATEL

Business Name

NISHA PATEL DDS

Original Issue Date

08/09/2019

Effective Date

08/09/2019

Expiration Date

01/31/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022