VIRAL DILIPKUMAR PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

Title

First Name

VIRAL

Middle

DILIPKUMAR

Last Name

PATEL

Business Name

VIRAL DILIPKUMAR PATEL MD

Original Issue Date

12/01/2016

Effective Date

12/01/2016

Expiration Date

07/31/2017

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020