AMISH MANU PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051773

License Status

CANCELLED

Business

First Name

AMISH

Middle

MANU

Last Name

PATEL

Suffix

Business Name

AMISH MANU PATEL DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

WHEATON

State

Zip

60287

County

DUPAGE

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

05/19/2009