JAYANTIBHAI M PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

JAYANTIBHAI M

Last Name

PATEL

Business Name

JAYANTIBHAI M PATEL

Original Issue Date

04/25/1994

Effective Date

04/25/1994

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006