SHASHI A PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

SHASHI

Middle

Last Name

PATEL

Suffix

Business Name

SHASHI A PATEL MD

Original Issue Date

01/01/1997

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017