JATIN J PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140962

License Status

NOT RENEWED

Business

Title

First Name

JATIN

Middle

Last Name

PATEL

Business Name

JATIN J PATEL MD

Original Issue Date

06/17/2016

Effective Date

06/17/2016

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017