VIVEK BHAILALBHAI PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052430

License Status

CANCELLED

Business

First Name

VIVEK

Middle

BHAILALBHAI

Last Name

PATEL

Suffix

Business Name

VIVEK BHAILALBHAI PATEL MD

Original Issue Date

06/26/2007

Effective Date

06/26/2007

Expiration Date

06/25/2010

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/02/2007