AMITKUMAR PRAVINKUMAR PATEL DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

ACTIVE

Business

Title

DMD

First Name

AMITKUMAR

Middle

PRAVINKUMAR

Last Name

PATEL

Business Name

AMITKUMAR PRAVINKUMAR PATEL DMD

Original Issue Date

07/12/2012

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024