GITA G PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

GITA

Middle

Last Name

PATEL

Business Name

GITA G PATEL

Original Issue Date

03/29/2001

Effective Date

07/10/2008

Expiration Date

07/31/2011

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011