ANKITA C PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048338

License Status

CANCELLED

Business

Title

First Name

ANKITA

Middle

Last Name

PATEL

Business Name

ANKITA C PATEL MD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/30/2007

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006