SAMIPKUMAR D PATEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

SAMIPKUMAR

Middle

Last Name

PATEL

Business Name

SAMIPKUMAR D PATEL

Original Issue Date

09/18/2024

Effective Date

01/19/2026

Expiration Date

03/01/2028

City

CRESTWOOD

State

Zip

60418

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/19/2026