HETAL SANDIP PATEL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

HETAL

Middle

SANDIP

Last Name

PATEL

Suffix

DDS

Business Name

HETAL SANDIP PATEL DDS

Original Issue Date

03/05/1999

Effective Date

08/27/2024

Expiration Date

09/30/2027

City

GURNEE

State

Zip

60031

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/27/2024