FALGUNI DINESH PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

FALGUNI

Middle

DINESH

Last Name

PATEL

Suffix

Business Name

FALGUNI DINESH PATEL MD

Original Issue Date

12/03/2003

Effective Date

12/03/2003

Expiration Date

07/31/2005

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006