ASHVINKUMAR K PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

ASHVINKUMAR K

Last Name

PATEL

Suffix

Business Name

ASHVINKUMAR K PATEL MD

Original Issue Date

01/01/1997

Effective Date

06/21/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017