NIKETA AJAY PATEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

NIKETA

Middle

AJAY

Last Name

PATEL

Suffix

Business Name

NIKETA AJAY PATEL DO

Original Issue Date

03/02/2016

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60301

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023