MARLYNN P PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

MARLYNN

Middle

Last Name

PATEL

Suffix

Business Name

MARLYNN P PATEL MD

Original Issue Date

05/22/2000

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023