BHAVISHA Y PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

Title

First Name

BHAVISHA

Middle

Last Name

PATEL

Business Name

BHAVISHA Y PATEL MD

Original Issue Date

05/11/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

DEKALB

State

Zip

60115

County

DEKALB

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021