PRANAY R PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

PRANAY R

Last Name

PATEL

Business Name

PRANAY R PATEL

Original Issue Date

09/21/1995

Effective Date

09/21/1995

Expiration Date

07/31/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006