PIUSHKUMAR J 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

Title

First Name

PIUSHKUMAR

Middle

Last Name

PATEL

Business Name

PIUSHKUMAR J PATEL MD

Original Issue Date

02/03/2003

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020