PRIYANKA PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143799

License Status

NOT RENEWED

Business

Title

First Name

PRIYANKA

Last Name

PATEL

Business Name

PRIYANKA PATEL MD

Original Issue Date

07/10/2017

Effective Date

06/02/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023