PURVI PATEL BHANDARI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049609

License Status

EXPIRED

Business

Title

First Name

PURVI

Middle

PATEL

Last Name

BHANDARI

Business Name

PURVI PATEL BHANDARI MD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

06/21/2008

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/26/2008