CHIMANBHAI KALIDAS PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052687

License Status

NOT RENEWED

Business

First Name

CHIMANBHAI

Middle

KALIDAS

Last Name

PATEL

Suffix

Business Name

CHIMANBHAI KALIDAS PATEL MD

Original Issue Date

04/15/1976

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/14/2018

Case Number

2014000947

Action

Probation

Discipline Start Date

06/01/2015

Discipline Reason

after he was terminated as a provider in the Illinois Medical Assistance Program.