JAGRUTI PATEL DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****73

License Status

ACTIVE

Business

First Name

JAGRUTI

Last Name

PATEL

Suffix

DPM

Business Name

JAGRUTI PATEL DPM

Original Issue Date

06/21/2010

Effective Date

11/04/2024

Expiration Date

01/31/2027

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025