TARIK PRAVINKUMAR PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

ACTIVE

Business

First Name

TARIK

Middle

PRAVINKUMAR

Last Name

PATEL

Business Name

TARIK PRAVINKUMAR PATEL

Original Issue Date

10/27/2025

Effective Date

10/27/2025

Expiration Date

09/30/2027

City

ROMEOVILLE

State

Zip

60446

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/27/2025