A PATEL AJITKUMAR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

A PATEL

Last Name

AJITKUMAR

Business Name

A PATEL AJITKUMAR

Original Issue Date

07/09/1990

Effective Date

07/09/1990

Expiration Date

09/30/1992

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005