HETAL HARISH PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144011

License Status

ACTIVE

Business

Title

First Name

HETAL

Middle

HARISH

Last Name

PATEL

Business Name

HETAL HARISH PATEL MD

Original Issue Date

08/03/2017

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2023