AMIT MANILAL PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

AMIT

Middle

MANILAL

Last Name

PATEL

Business Name

AMIT MANILAL PATEL MD

Original Issue Date

11/01/2011

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

MARIETTA

State

Zip

30068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023