PURVA UMESH PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

PURVA

Middle

UMESH

Last Name

PATEL

Business Name

PURVA UMESH PATEL MD

Original Issue Date

03/18/2022

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

61611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023