MITAL KISHOR PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

Title

First Name

MITAL

Middle

KISHOR

Last Name

PATEL

Business Name

MITAL KISHOR PATEL MD

Original Issue Date

06/07/2012

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ROLLING MEADOWS

State

Zip

60008

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023