HIMADRI M PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033298

License Status

CANCELLED

Business

First Name

HIMADRI M

Last Name

PATEL

Suffix

Business Name

HIMADRI M PATEL DO

Original Issue Date

06/12/1995

Effective Date

06/12/1995

Expiration Date

06/30/1998

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006