ROOPAL A PATEL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

CANCELLED

Business

First Name

ROOPAL

Middle

Last Name

PATEL

Business Name

ROOPAL A PATEL

Original Issue Date

04/18/2002

Effective Date

04/18/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006