SUPRIYA SHIRISH PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134935

License Status

NOT RENEWED

Business

Title

First Name

SUPRIYA

Middle

SHIRISH

Last Name

PATEL

Business Name

SUPRIYA SHIRISH PATEL MD

Original Issue Date

04/08/2014

Effective Date

04/08/2014

Expiration Date

07/31/2017

City

CERRITOS

State

Zip

90703

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/01/2017