SANDIPKUMAR MAHESHKUMAR PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

SANDIPKUMAR

Middle

MAHESHKUMAR

Last Name

PATEL

Business Name

SANDIPKUMAR MAHESHKUMAR PATEL MD

Original Issue Date

02/18/2014

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023