VISHAL ANIL PATEL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

VISHAL

Middle

ANIL

Last Name

PATEL

Business Name

VISHAL ANIL PATEL

Original Issue Date

05/04/2020

Effective Date

06/05/2023

Expiration Date

07/31/2026

City

ATLANTA

State

Zip

30307

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/05/2023