SHRUTI BHUPENDRA PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

SHRUTI

Middle

BHUPENDRA

Last Name

PATEL

Suffix

Business Name

SHRUTI BHUPENDRA PATEL MD

Original Issue Date

05/19/2009

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023