ILAXI P PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031687

License Status

EXPIRED

Business

First Name

ILAXI

Middle

Last Name

PATEL

Suffix

Business Name

ILAXI P PATEL DO

Original Issue Date

06/06/1994

Effective Date

06/06/1994

Expiration Date

06/20/1997

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006