AMI KIRIT PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136639

License Status

NOT RENEWED

Business

Title

First Name

AMI

Middle

KIRIT

Last Name

PATEL

Business Name

AMI KIRIT PATEL MD

Original Issue Date

10/09/2014

Effective Date

05/31/2017

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021