KATAN Y PATEL DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****71

NOT RENEWED

N

DO

KATAN

Y

PATEL

KATAN Y PATEL DO

09/11/2015

09/11/2015

07/31/2017

PEORIA

IL

61603

PEORIA

PRACTITIONER

II III IV V

N

11/01/2017