MOSAM BHAILALBHAI PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142041

License Status

ACTIVE

Business

Title

First Name

MOSAM

Middle

BHAILALBHAI

Last Name

PATEL

Business Name

MOSAM BHAILALBHAI PATEL MD

Original Issue Date

11/30/2016

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/07/2023