PRAVIN-KUMAR KAN PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

ACTIVE

Business

First Name

PRAVIN-KUMAR KAN

Last Name

PATEL

Suffix

Business Name

PRAVIN-KUMAR KAN PATEL MD

Original Issue Date

01/24/1995

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023