SHIVANI PATEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031769

License Status

NOT RENEWED

Business

First Name

SHIVANI

Last Name

PATEL

Business Name

SHIVANI PATEL

Original Issue Date

06/20/2018

Effective Date

10/13/2021

Expiration Date

09/30/2024

City

MUNSTER

State

Zip

46321

Ever Disciplined

LastModifiedDate

02/04/2025