DEEPAK S PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

DEEPAK

Middle

Last Name

PATEL

Suffix

Business Name

DEEPAK S PATEL MD

Original Issue Date

10/07/2004

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

YORKVILLE

State

Zip

60560

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023