DEEPA CHANDRAKANT PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

DEEPA

Middle

CHANDRAKANT

Last Name

PATEL

Suffix

Business Name

DEEPA CHANDRAKANT PATEL MD

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

07/31/2002

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006