AXI R PATEL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

First Name

AXI

Middle

Last Name

PATEL

Business Name

AXI R PATEL

Original Issue Date

05/20/2020

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

WESTMONT

State

Zip

60559

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023