NISHITA S PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

NISHITA

Middle

Last Name

PATEL

Business Name

NISHITA S PATEL

Original Issue Date

06/07/2005

Effective Date

06/07/2005

Expiration Date

07/31/2008

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008