VIVEK BHAILALBHAI PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125182

License Status

NOT RENEWED

Business

First Name

VIVEK

Middle

BHAILALBHAI

Last Name

PATEL

Suffix

Business Name

VIVEK BHAILALBHAI PATEL MD

Original Issue Date

03/12/2010

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014