PRAVIN T PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

PRAVIN T

Last Name

PATEL

Business Name

PRAVIN T PATEL

Original Issue Date

01/07/1992

Effective Date

01/07/1992

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006