SHILAM SHIRISH PATEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

Title

DMD

First Name

SHILAM

Middle

SHIRISH

Last Name

PATEL

Business Name

SHILAM SHIRISH PATEL DMD

Original Issue Date

12/07/2021

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024