AJAY JITENDRA PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

AJAY

Middle

JITENDRA

Last Name

PATEL

Suffix

Business Name

AJAY JITENDRA PATEL MD

Original Issue Date

04/19/2011

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020