NIRAV VISHNUPRASAD PATEL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

NIRAV

Middle

VISHNUPRASAD

Last Name

PATEL

Business Name

NIRAV VISHNUPRASAD PATEL

Original Issue Date

01/20/2016

Effective Date

01/20/2016

Expiration Date

09/30/2018

City

FOREST HILLS

State

Zip

11375

County

NEW YORK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018