KOMAL D PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

CANCELLED

Business

First Name

KOMAL

Middle

Last Name

PATEL

Suffix

Business Name

KOMAL D PATEL MD

Original Issue Date

03/17/2004

Effective Date

07/07/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2011