NITIN B PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119011

License Status

NOT RENEWED

Business

First Name

NITIN

Middle

Last Name

PATEL

Suffix

Business Name

NITIN B PATEL MD

Original Issue Date

07/19/2007

Effective Date

05/28/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/14/2011