PRASAD B PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157357

License Status

ACTIVE

Business

Title

First Name

PRASAD

Middle

Last Name

PATEL

Business Name

PRASAD B PATEL MD

Original Issue Date

06/11/2021

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/27/2024