KAVAN GIRISHBHAI PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

KAVAN

Middle

GIRISHBHAI

Last Name

PATEL

Business Name

KAVAN GIRISHBHAI PATEL MD

Original Issue Date

06/18/2020

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023