PREM BHARAT 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

PREM

Middle

BHARAT

Last Name

PATEL

Business Name

PREM BHARAT PATEL MD

Original Issue Date

12/27/2016

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

WEST CHICAGO

State

Zip

60185

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023