RAVI S PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046421

License Status

CANCELLED

Business

Title

First Name

RAVI S

Last Name

PATEL

Business Name

RAVI S PATEL MD

Original Issue Date

08/04/2006

Effective Date

08/04/2006

Expiration Date

06/30/2008

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006