DASHRATH PRAHLADBHAI PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

CANCELLED

Business

First Name

DASHRATH

Middle

PRAHLADBHAI

Last Name

PATEL

Suffix

Business Name

DASHRATH PRAHLADBHAI PATEL MD

Original Issue Date

11/01/1999

Effective Date

11/01/1999

Expiration Date

07/31/2002

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006