TRACY PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048784

License Status

EXPIRED

Business

First Name

TRACY

Last Name

PATEL

Suffix

Business Name

TRACY PATEL MD

Original Issue Date

08/09/2004

Effective Date

08/09/2004

Expiration Date

08/08/2007

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2007