PIUSHKUMAR J PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041850

License Status

EXPIRED

Business

Title

First Name

PIUSHKUMAR

Middle

Last Name

PATEL

Business Name

PIUSHKUMAR J PATEL MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006