VIVEK BHAILALBHAI PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

VIVEK

Middle

BHAILALBHAI

Last Name

PATEL

Suffix

Business Name

VIVEK BHAILALBHAI PATEL MD

Original Issue Date

03/16/2010

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014