GHANSHYAM M PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

GHANSHYAM

Middle

Last Name

PATEL

Suffix

Business Name

GHANSHYAM M PATEL MD

Original Issue Date

09/17/1984

Effective Date

06/08/2020

Expiration Date

07/31/2023

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023