SHAMIM Y PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

ACTIVE

Business

First Name

SHAMIM

Middle

Last Name

PATEL

Suffix

Business Name

SHAMIM Y PATEL MD

Original Issue Date

10/01/1998

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023