AMBALAL K PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044862

License Status

NOT RENEWED

Business

First Name

AMBALAL K

Last Name

PATEL

Suffix

Business Name

AMBALAL K PATEL MD

Original Issue Date

10/05/1971

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

ORLAND PARK

State

Zip

60467

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017