AMI PIYUSH PATEL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150806

License Status

NOT RENEWED

Business

Title

First Name

AMI

Middle

PIYUSH

Last Name

PATEL

Business Name

AMI PIYUSH PATEL DO

Original Issue Date

09/21/2019

Effective Date

09/21/2019

Expiration Date

09/30/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021