KETAN S PATEL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091902

License Status

INACTIVE

Business

First Name

KETAN S

Last Name

PATEL

Business Name

KETAN S PATEL

Original Issue Date

09/21/1995

Effective Date

09/21/1995

Expiration Date

07/31/2005

City

PHOENIX

State

Zip

85022

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006