PANKAJ A PATEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111822

License Status

INACTIVE

Business

First Name

PANKAJ

Middle

Last Name

PATEL

Suffix

Business Name

PANKAJ A PATEL MD

Original Issue Date

07/12/2004

Effective Date

07/12/2004

Expiration Date

07/31/2005

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006