HEENA RAJENDRA PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

HEENA

Middle

RAJENDRA

Last Name

PATEL

Business Name

HEENA RAJENDRA PATEL

Original Issue Date

05/17/2012

Effective Date

05/17/2012

Expiration Date

07/31/2014

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017