VISHAL JIITENDRA PANCHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053022

License Status

EXPIRED

Business

First Name

VISHAL

Middle

JIITENDRA

Last Name

PANCHAL

Suffix

Business Name

VISHAL JIITENDRA PANCHAL MD

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2008

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/26/2008