ANISH SUBHASH PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

ANISH

Middle

SUBHASH

Last Name

PATEL

Business Name

ANISH SUBHASH PATEL MD

Original Issue Date

07/21/2016

Effective Date

07/21/2016

Expiration Date

07/31/2017

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017