HETAL BHARAT PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

HETAL

Middle

BHARAT

Last Name

PATEL

Suffix

Business Name

HETAL BHARAT PATEL MD

Original Issue Date

06/02/2010

Effective Date

07/10/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023