CHHAYA B PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

CHHAYA

Middle

Last Name

PATEL

Business Name

CHHAYA B PATEL

Original Issue Date

08/01/2008

Effective Date

08/01/2008

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

66077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011