SMITA VIJAY PATIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048558

License Status

EXPIRED

Business

First Name

SMITA

Middle

VIJAY

Last Name

PATIL

Suffix

Business Name

SMITA VIJAY PATIL MD

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

06/20/2007

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/05/2009