PRAVINCHANDRA C PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

PRAVINCHANDRA C

Last Name

PATEL

Suffix

Business Name

PRAVINCHANDRA C PATEL MD

Original Issue Date

09/02/1986

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023