PRACHI INDRAVADAN PATEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

PRACHI

Middle

INDRAVADAN

Last Name

PATEL

Business Name

PRACHI INDRAVADAN PATEL DO

Original Issue Date

06/10/2013

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

HOFFMAN ESTATES

State

Zip

60169

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023