MAYANK SOMABHAI PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

Title

First Name

MAYANK

Middle

SOMABHAI

Last Name

PATEL

Business Name

MAYANK SOMABHAI PATEL MD

Original Issue Date

02/22/2018

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023