MITESH KUMAR BABUBHAI PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048979

License Status

CANCELLED

Business

First Name

MITESH KUMAR

Middle

BABUBHAI

Last Name

PATEL

Suffix

Business Name

MITESH KUMAR BABUBHAI PATEL MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006