KRUPA D PATEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

ACTIVE

Business

First Name

KRUPA

Middle

Last Name

PATEL

Suffix

DMD

Business Name

KRUPA D PATEL DMD

Original Issue Date

07/20/2006

Effective Date

08/10/2024

Expiration Date

09/30/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/10/2024