JAIMIN M PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

JAIMIN

Middle

Last Name

PATEL

Business Name

JAIMIN M PATEL

Original Issue Date

05/14/2009

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014