NIRALI PATEL BHATE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047787

License Status

CANCELLED

Business

Title

First Name

NIRALI

Middle

PATEL

Last Name

BHATE

Business Name

NIRALI PATEL BHATE DO

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2007

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006