DIVYESH GAJU PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043300

License Status

EXPIRED

Business

First Name

DIVYESH

Middle

GAJU

Last Name

PATEL

Suffix

Business Name

DIVYESH GAJU PATEL MD

Original Issue Date

07/01/2001

Effective Date

07/01/2001

Expiration Date

06/30/2004

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006