RUTVIKKUMAR SURESHBHAI PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

RUTVIKKUMAR

Middle

SURESHBHAI

Last Name

PATEL

Suffix

Business Name

RUTVIKKUMAR SURESHBHAI PATEL MD

Original Issue Date

07/06/2005

Effective Date

07/06/2005

Expiration Date

07/31/2008

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008