PRAVINKUMAR M PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

PRAVINKUMAR

Middle

Last Name

PATEL

Suffix

Business Name

PRAVINKUMAR M PATEL MD

Original Issue Date

01/11/2002

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020