VIVEK R PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

VIVEK

Middle

Last Name

PATEL

Business Name

VIVEK R PATEL MD

Original Issue Date

04/25/2019

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023