DIPAL DINESH PATEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

NOT RENEWED

Business

First Name

DIPAL

Middle

DINESH

Last Name

PATEL

Business Name

DIPAL DINESH PATEL

Original Issue Date

08/12/2014

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020