KETANKUMAR G PATEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

NOT RENEWED

Business

First Name

KETANKUMAR

Middle

Last Name

PATEL

Suffix

DMD

Business Name

KETANKUMAR G PATEL DMD

Original Issue Date

06/27/2003

Effective Date

06/27/2003

Expiration Date

09/30/2004

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005