DIVYESH GAJU PATEL MD - Medical Doctor License in Indiana | # 036108947

DIVYESH GAJU PATEL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108947

License Status

INACTIVE

Business

N

First Name

DIVYESH

Middle

GAJU

Last Name

PATEL

Suffix

MD

Business Name

DIVYESH GAJU PATEL MD

Original Issue Date

04/02/2003

Effective Date

04/30/2014

Expiration Date

07/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

04/30/2014