SAMIT DILIP PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

Title

First Name

SAMIT

Middle

DILIP

Last Name

PATEL

Business Name

SAMIT DILIP PATEL MD

Original Issue Date

10/13/2015

Effective Date

07/10/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61615

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023