JAY PRAVIN PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051324

License Status

CANCELLED

Business

First Name

JAY

Middle

PRAVIN

Last Name

PATEL

Suffix

Business Name

JAY PRAVIN PATEL MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/21/2007