SHEPHALI AMIT PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

SHEPHALI AMIT

Last Name

PATEL

Suffix

Business Name

SHEPHALI AMIT PATEL MD

Original Issue Date

09/25/1995

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023