SIMA R PATEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****89

License Status

NOT RENEWED

Business

First Name

SIMA

Middle

Last Name

PATEL

Suffix

DDS

Business Name

SIMA R PATEL DDS

Original Issue Date

03/15/2017

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022