JITENDRA M PATEL MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

INOPERATIVE

Business

Title

First Name

JITENDRA

Middle

Last Name

PATEL

Business Name

JITENDRA M PATEL MD

Original Issue Date

09/28/2022

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023