PRANAV UPENDRA PATEL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147087

License Status

NOT RENEWED

Business

Title

First Name

PRANAV

Middle

UPENDRA

Last Name

PATEL

Business Name

PRANAV UPENDRA PATEL MD

Original Issue Date

08/02/2018

Effective Date

08/02/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

01/14/2021