KRUPA PATEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

KRUPA

Last Name

PATEL

Business Name

KRUPA PATEL

Original Issue Date

10/05/2018

Effective Date

09/25/2021

Expiration Date

09/30/2024

City

BOURBONNAIS

State

Zip

60914

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025