KRISHANKUMAR I 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

KRISHANKUMAR I

Last Name

PATEL

Suffix

Business Name

KRISHANKUMAR I PATEL MD

Original Issue Date

01/01/1997

Effective Date

05/23/2017

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021