GAUTAM K PATEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013162

License Status

EXPIRED

Business

First Name

GAUTAM K

Last Name

PATEL

Business Name

GAUTAM K PATEL

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

06/23/1983

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006