ALEXANDRA J PATIL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****87

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

PATIL

Business Name

ALEXANDRA J PATIL

Original Issue Date

06/21/2022

Effective Date

06/21/2022

Expiration Date

09/30/2024

City

MINNEAPOLIS

State

Zip

55402

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025