KOMAL S PATEL 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

KOMAL

Middle

Last Name

PATEL

Business Name

KOMAL S PATEL

Original Issue Date

10/15/2014

Effective Date

10/15/2014

Expiration Date

09/30/2015

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016