KEVIN HASMUKH PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

HASMUKH

Last Name

PATEL

Suffix

Business Name

KEVIN HASMUKH PATEL MD

Original Issue Date

02/06/2019

Effective Date

02/06/2019

Expiration Date

09/30/2020

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021