KEITH CHANDUBHAI PATEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

ACTIVE

Business

Title

DMD

First Name

KEITH

Middle

CHANDUBHAI

Last Name

PATEL

Business Name

KEITH CHANDUBHAI PATEL DMD

Original Issue Date

08/17/2015

Effective Date

08/15/2024

Expiration Date

09/30/2027

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/15/2024