NIMESH JITENDRA PATHAK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050073

License Status

CANCELLED

Business

First Name

NIMESH

Middle

JITENDRA

Last Name

PATHAK

Suffix

Business Name

NIMESH JITENDRA PATHAK MD

Original Issue Date

06/24/2005

Effective Date

06/24/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

09/22/2006