NICKY PATEL DPM - Podiatrist License in Illinois | # 135001219

NICKY PATEL DPM

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001219

License Status

ACTIVE

Business

N

Title

DPM

First Name

NICKY

Last Name

PATEL

Business Name

NICKY PATEL DPM

Original Issue Date

06/11/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

05/23/2024