GHANSHYAM R PATEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170622

License Status

ACTIVE

Business

Title

First Name

GHANSHYAM

Middle

Last Name

PATEL

Business Name

GHANSHYAM R PATEL MD

Original Issue Date

06/17/2024

Effective Date

06/17/2024

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/27/2025