RAJIV A PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

RAJIV

Middle

Last Name

PATEL

Business Name

RAJIV A PATEL MD

Original Issue Date

06/28/2022

Effective Date

06/28/2022

Expiration Date

07/31/2023

City

FLAGSTAFF

State

Zip

86001

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023