AVNI J PATEL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

First Name

AVNI

Middle

Last Name

PATEL

Suffix

DDS

Business Name

AVNI J PATEL DDS

Original Issue Date

07/06/2009

Effective Date

08/19/2015

Expiration Date

09/30/2018

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018