AMISH M PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048075

License Status

CANCELLED

Business

First Name

AMISH

Middle

Last Name

PATEL

Suffix

Business Name

AMISH M PATEL MD

Original Issue Date

06/21/2007

Effective Date

06/21/2007

Expiration Date

06/20/2008

City

DOWNERS GROVE

State

Zip

60515

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/27/2007