KALPANA S PATEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

KALPANA S

Last Name

PATEL

Business Name

KALPANA S PATEL

Original Issue Date

08/04/1982

Effective Date

08/25/2015

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60620

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018