KETAN J PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

KETAN

Middle

Last Name

PATEL

Business Name

KETAN J PATEL MD

Original Issue Date

05/31/2017

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ITASCA

State

Zip

60143

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023