KETAN R PATEL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

KETAN R

Last Name

PATEL

Business Name

KETAN R PATEL

Original Issue Date

03/25/1992

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023