VIVEK R PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149214

License Status

ACTIVE

Business

Title

First Name

VIVEK

Middle

Last Name

PATEL

Business Name

VIVEK R PATEL MD

Original Issue Date

04/25/2019

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/01/2025