GITA G PATEL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103917

License Status

NOT RENEWED

Business

First Name

GITA

Middle

Last Name

PATEL

Business Name

GITA G PATEL

Original Issue Date

12/14/2000

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014