DEEP PATEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

ACTIVE

Business

First Name

DEEP

Last Name

PATEL

Business Name

DEEP PATEL

Original Issue Date

09/29/2021

Effective Date

02/24/2024

Expiration Date

03/01/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025