PREM BHARAT PATEL MD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****55

License Status

ACTIVE

Business

Title

First Name

PREM

Middle

BHARAT

Last Name

PATEL

Business Name

PREM BHARAT PATEL MD

Original Issue Date

07/27/2023

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2024