GIRISHBHAI C PATEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

First Name

GIRISHBHAI C

Last Name

PATEL

Business Name

GIRISHBHAI C PATEL

Original Issue Date

10/25/1984

Effective Date

09/17/2015

Expiration Date

09/30/2018

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018