JIVANBHAI K PATEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045671

License Status

INACTIVE

Business

First Name

JIVANBHAI K

Last Name

PATEL

Suffix

Business Name

JIVANBHAI K PATEL MD

Original Issue Date

06/16/1972

Effective Date

06/16/1972

Expiration Date

07/31/2005

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006