AMY A PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

AMY A

Last Name

PATEL

Business Name

AMY A PATEL

Original Issue Date

12/08/2003

Effective Date

12/08/2003

Expiration Date

07/31/2008

City

VERNON HILLS

State

Zip

60061

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008