PRATIMA RAJENDRA 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

PRATIMA RAJENDRA

Last Name

PATEL

Suffix

Business Name

PRATIMA RAJENDRA PATEL MD

Original Issue Date

06/23/1983

Effective Date

06/23/1983

Expiration Date

07/31/1987

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006