VAISHALI PATEL DO 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

VAISHALI

Last Name

PATEL

Business Name

VAISHALI PATEL DO

Original Issue Date

12/11/2020

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61606

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023