PANICAJ T PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056094

License Status

NOT RENEWED

Business

First Name

PANICAJ T

Last Name

PATEL

Suffix

Business Name

PANICAJ T PATEL MD

Original Issue Date

11/14/1977

Effective Date

11/14/1977

Expiration Date

07/01/1982

City

FOREST PARK

State

Zip

60130

County

WILL

Ever Disciplined

LastModifiedDate

09/03/2008