SHILPA AMBALAL PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

SHILPA

Middle

AMBALAL

Last Name

PATEL

Suffix

Business Name

SHILPA AMBALAL PATEL MD

Original Issue Date

10/23/1998

Effective Date

10/23/1998

Expiration Date

07/31/2002

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006