PRAYAG NAINESHKUMAR PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

Title

First Name

PRAYAG

Middle

NAINESHKUMAR

Last Name

PATEL

Business Name

PRAYAG NAINESHKUMAR PATEL MD

Original Issue Date

10/14/2015

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023