MITTAL C PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038753

License Status

EXPIRED

Business

First Name

MITTAL

Middle

Last Name

PATEL

Suffix

Business Name

MITTAL C PATEL MD

Original Issue Date

07/16/1998

Effective Date

07/16/1998

Expiration Date

07/15/2000

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006