ROSHANKUMAR BHARATBHAI PATEL MD - Medical Doctor License in Pennsylvania | # 33*****56

ROSHANKUMAR BHARATBHAI PATEL MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

CANCELLED

Business

N

Title

MD

First Name

ROSHANKUMAR

Middle

BHARATBHAI

Last Name

PATEL

Business Name

ROSHANKUMAR BHARATBHAI PATEL MD

Original Issue Date

07/01/2010

Effective Date

04/12/2011

Expiration Date

07/31/2014

State

PA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

04/21/2014