PURVI PRAVINCHANDRA PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

Title

First Name

PURVI

Middle

PRAVINCHANDRA

Last Name

PATEL

Business Name

PURVI PRAVINCHANDRA PATEL MD

Original Issue Date

07/20/2017

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023