PRAVIN S PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060030

License Status

NOT RENEWED

Business

First Name

PRAVIN S

Last Name

PATEL

Suffix

Business Name

PRAVIN S PATEL MD

Original Issue Date

02/19/1980

Effective Date

05/05/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017