SHANTU NAGIN PATEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060606

License Status

INACTIVE

Business

First Name

SHANTU NAGIN

Last Name

PATEL

Suffix

Business Name

SHANTU NAGIN PATEL MD

Original Issue Date

07/10/1980

Effective Date

05/27/2020

Expiration Date

07/31/2023

City

TIFTON

State

Zip

31794

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/18/2023