JAY KANTILAL PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

JAY

Middle

KANTILAL

Last Name

PATEL

Business Name

JAY KANTILAL PATEL MD

Original Issue Date

04/19/2018

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021