MITA PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045436

License Status

EXPIRED

Business

Title

First Name

MITA

Last Name

PATEL

Business Name

MITA PATEL MD

Original Issue Date

09/17/2002

Effective Date

09/17/2002

Expiration Date

08/24/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Preventive Medicine

Ever Disciplined

LastModifiedDate

09/22/2006