ANITA BHAGAT PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

ANITA

Last Name

BHAGAT PATEL

Business Name

ANITA BHAGAT PATEL MD

Original Issue Date

07/15/2008

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011