SHIVANI MANAHAR PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****60

License Status

ACTIVE

Business

First Name

SHIVANI

Middle

MANAHAR

Last Name

PATEL

Business Name

SHIVANI MANAHAR PATEL

Original Issue Date

08/12/2019

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

SCHAUMBURG

State

Zip

60173

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/03/2024