VEENA HARISH PATIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047185

License Status

EXPIRED

Business

First Name

VEENA

Middle

HARISH

Last Name

PATIL

Suffix

Business Name

VEENA HARISH PATIL MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/03/2007