ASHRUTA J PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

ASHRUTA

Middle

Last Name

PATEL

Business Name

ASHRUTA J PATEL MD

Original Issue Date

11/08/2023

Effective Date

11/08/2023

Expiration Date

07/31/2026

City

GLEN ELLYN

State

Zip

60137

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2023