DEEP PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

DEEP

Last Name

PATEL

Business Name

DEEP PATEL MD

Original Issue Date

03/27/2025

Effective Date

03/27/2025

Expiration Date

07/31/2026

City

CROWN POINT

State

Zip

46307

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/28/2025