SUSHRUT R PATEL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076042

License Status

INACTIVE

Business

First Name

SUSHRUT R

Last Name

PATEL

Business Name

SUSHRUT R PATEL

Original Issue Date

09/25/1987

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/24/2017