SHIVANI GOVIND PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

SHIVANI

Middle

GOVIND

Last Name

PATEL

Suffix

Business Name

SHIVANI GOVIND PATEL MD

Original Issue Date

05/21/2007

Effective Date

05/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/26/2023