RUPA KRISHNASWAMY PATIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

Title

First Name

RUPA

Middle

KRISHNASWAMY

Last Name

PATIL

Business Name

RUPA KRISHNASWAMY PATIL MD

Original Issue Date

08/24/2019

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023