MANISHA AMI PATEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102301

License Status

INACTIVE

Business

First Name

MANISHA

Middle

AMI

Last Name

PATEL

Suffix

Business Name

MANISHA AMI PATEL MD

Original Issue Date

04/10/2000

Effective Date

04/10/2000

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006