KISHORBHAI K PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

KISHORBHAI K

Last Name

PATEL

Suffix

Business Name

KISHORBHAI K PATEL MD

Original Issue Date

05/19/1989

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023