SAMIR R PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030954

License Status

EXPIRED

Business

First Name

SAMIR R

Last Name

PATEL

Suffix

Business Name

SAMIR R PATEL MD

Original Issue Date

05/03/1994

Effective Date

05/03/1994

Expiration Date

05/01/1997

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006