INSIYYAH YOUSUF PATANWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

Title

First Name

INSIYYAH

Middle

YOUSUF

Last Name

PATANWALA

Business Name

INSIYYAH YOUSUF PATANWALA MD

Original Issue Date

04/01/2015

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023