MANISH ASHOK PATEL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

MANISH

Middle

ASHOK

Last Name

PATEL

Business Name

MANISH ASHOK PATEL

Original Issue Date

11/18/2014

Effective Date

05/15/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/15/2023