SHRUTI J PATIL 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

First Name

SHRUTI

Middle

Last Name

PATIL

Suffix

Business Name

SHRUTI J PATIL MD

Original Issue Date

07/24/2018

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023