GAVISH N PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

GAVISH

Middle

Last Name

PATEL

Suffix

Business Name

GAVISH N PATEL MD

Original Issue Date

03/21/2000

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023