MARZBAN PATEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

MARZBAN

Last Name

PATEL

Suffix

DDS

Business Name

MARZBAN PATEL DDS

Original Issue Date

03/31/1988

Effective Date

03/31/1988

Expiration Date

09/30/1988

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005