PRAFULLKUMAR G PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

PRAFULLKUMAR G

Last Name

PATEL

Suffix

Business Name

PRAFULLKUMAR G PATEL MD

Original Issue Date

08/23/1995

Effective Date

08/23/1995

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006