JAGANNATH J PATIL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091352

License Status

ACTIVE

Business

First Name

JAGANNATH J

Last Name

PATIL

Suffix

Business Name

JAGANNATH J PATIL MD

Original Issue Date

07/20/1995

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

04/23/2023