KRUTI PATEL MD 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

Title

First Name

KRUTI

Last Name

PATEL

Business Name

KRUTI PATEL MD

Original Issue Date

01/07/2015

Effective Date

01/07/2015

Expiration Date

07/31/2017

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017