PURAV PATEL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

PURAV

Last Name

PATEL

Business Name

PURAV PATEL

Original Issue Date

09/04/2025

Effective Date

09/04/2025

Expiration Date

07/31/2026

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/04/2025