PRATIBHA B PATEL DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

First Name

PRATIBHA

Middle

Last Name

PATEL

Suffix

DPM

Business Name

PRATIBHA B PATEL DPM

Original Issue Date

11/24/2008

Effective Date

01/02/2025

Expiration Date

01/31/2027

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025