JAYESH P 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

First Name

JAYESH P

Last Name

PATEL

Suffix

Business Name

JAYESH P PATEL MD

Original Issue Date

06/23/1993

Effective Date

06/23/1993

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006