JAYKUMAR GIRISHBHAI PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

JAYKUMAR

Middle

GIRISHBHAI

Last Name

PATEL

Business Name

JAYKUMAR GIRISHBHAI PATEL MD

Original Issue Date

03/15/2023

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023