SAMIT DILIP PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139046

License Status

NOT RENEWED

Business

Title

First Name

SAMIT

Middle

DILIP

Last Name

PATEL

Business Name

SAMIT DILIP PATEL MD

Original Issue Date

09/01/2015

Effective Date

07/10/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023