ANJALI ASHWIN PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

CANCELLED

Business

First Name

ANJALI

Middle

ASHWIN

Last Name

PATEL

Suffix

Business Name

ANJALI ASHWIN PATEL MD

Original Issue Date

10/12/1999

Effective Date

10/12/1999

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011