MANOJ RATILAL PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

MANOJ

Middle

RATILAL

Last Name

PATEL

Business Name

MANOJ RATILAL PATEL MD

Original Issue Date

08/04/2005

Effective Date

05/11/2017

Expiration Date

09/30/2020

City

WEST DUNDEE

State

Zip

60118

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021