SHIVANI GOVIND PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048509

License Status

CANCELLED

Business

First Name

SHIVANI

Middle

GOVIND

Last Name

PATEL

Suffix

Business Name

SHIVANI GOVIND PATEL MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006