TEJAS KIRANKUMAR PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

TEJAS

Middle

KIRANKUMAR

Last Name

PATEL

Business Name

TEJAS KIRANKUMAR PATEL MD

Original Issue Date

07/16/2014

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023