RENUKA DILIP PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

RENUKA DILIP

Last Name

PATEL

Suffix

Business Name

RENUKA DILIP PATEL MD

Original Issue Date

07/25/1984

Effective Date

07/25/1984

Expiration Date

07/31/1987

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006