SHRUTI BHUPENDRA PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051364

License Status

CANCELLED

Business

First Name

SHRUTI

Middle

BHUPENDRA

Last Name

PATEL

Suffix

Business Name

SHRUTI BHUPENDRA PATEL MD

Original Issue Date

06/24/2006

Effective Date

06/24/2006

Expiration Date

06/23/2009

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006