HETAL HARISH PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

HETAL

Middle

HARISH

Last Name

PATEL

Business Name

HETAL HARISH PATEL MD

Original Issue Date

09/14/2017

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023