MANISHA PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045678

License Status

EXPIRED

Business

First Name

MANISHA

Last Name

PATEL

Suffix

Business Name

MANISHA PATEL DO

Original Issue Date

06/19/2003

Effective Date

06/19/2003

Expiration Date

06/30/2007

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007