DHIMANT R 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

DHIMANT R

Last Name

PATEL

Suffix

Business Name

DHIMANT R PATEL MD

Original Issue Date

09/12/1983

Effective Date

09/12/1983

Expiration Date

07/31/1987

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006