MAITHILI SANDIP PATIL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

MAITHILI

Middle

SANDIP

Last Name

PATIL

Business Name

MAITHILI SANDIP PATIL

Original Issue Date

02/08/2005

Effective Date

02/08/2005

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006