TYAG KAMAL PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

TYAG

Middle

KAMAL

Last Name

PATEL

Business Name

TYAG KAMAL PATEL MD

Original Issue Date

11/26/2024

Effective Date

11/26/2024

Expiration Date

07/31/2026

City

VERONA

State

Zip

53593

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/26/2024