NISHA PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040798

License Status

CANCELLED

Business

Title

First Name

NISHA

Last Name

PATEL

Business Name

NISHA PATEL MD

Original Issue Date

06/12/2000

Effective Date

06/12/2000

Expiration Date

06/11/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006