PRASHANT SHANTILAL PATEL MD - Medical Doctor License in Indiana | # 036135190

PRASHANT SHANTILAL PATEL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135190

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PRASHANT

Middle

SHANTILAL

Last Name

PATEL

Business Name

PRASHANT SHANTILAL PATEL MD

Original Issue Date

04/29/2014

Effective Date

08/02/2017

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/14/2021