NICOLE MARIE PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

Title

First Name

NICOLE

Middle

MARIE

Last Name

PATEL

Business Name

NICOLE MARIE PATEL MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

TULSA

State

Zip

74135

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021