ITISHA PATEL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****97

License Status

ACTIVE

Business

First Name

ITISHA

Last Name

PATEL

Business Name

ITISHA PATEL

Original Issue Date

10/22/2024

Effective Date

10/22/2024

Expiration Date

09/30/2027

City

NORTH ROYALTON

State

Zip

44133

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

02/24/2025