CHIMANBHAI KALIDAS PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

CHIMANBHAI

Middle

KALIDAS

Last Name

PATEL

Suffix

Business Name

CHIMANBHAI KALIDAS PATEL MD

Original Issue Date

01/01/1997

Effective Date

08/08/2014

Expiration Date

07/31/2017

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017