VALLABH N 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

VALLABH N

Last Name

PATEL

Suffix

Business Name

VALLABH N PATEL MD

Original Issue Date

05/31/1989

Effective Date

05/31/1989

Expiration Date

07/31/2008

City

BOUBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020