SHANTILAL DEVSHIBHAI PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145118

License Status

NOT RENEWED

Business

Title

First Name

SHANTILAL

Middle

DEVSHIBHAI

Last Name

PATEL

Business Name

SHANTILAL DEVSHIBHAI PATEL MD

Original Issue Date

02/15/2018

Effective Date

02/15/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

85383

Ever Disciplined

LastModifiedDate

01/14/2021