MANSI JAYESHKUMAR PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

ACTIVE

Business

First Name

MANSI

Middle

JAYESHKUMAR

Last Name

PATEL

Business Name

MANSI JAYESHKUMAR PATEL

Original Issue Date

09/04/2025

Effective Date

09/04/2025

Expiration Date

09/30/2027

City

CAROL STREAM

State

Zip

60188

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2025