NISHA PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

NISHA

Last Name

PATEL

Business Name

NISHA PATEL MD

Original Issue Date

07/02/2019

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023