VASANT MAHENDRABHAI 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

VASANT

Middle

MAHENDRABHAI

Last Name

PATEL

Business Name

VASANT MAHENDRABHAI PATEL MD

Original Issue Date

05/28/2014

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021