PUSHPA S PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

PUSHPA S

Last Name

PATEL

Suffix

Business Name

PUSHPA S PATEL MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

SPARTA

State

Zip

62286

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006