KHUSHAL D PATIL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

KHUSHAL

Middle

Last Name

PATIL

Business Name

KHUSHAL D PATIL MD

Original Issue Date

01/13/2010

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021