ASHIS MUKESH PATEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161729

License Status

ACTIVE

Business

Title

First Name

ASHIS

Middle

MUKESH

Last Name

PATEL

Business Name

ASHIS MUKESH PATEL DO

Original Issue Date

07/30/2022

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2023