NISHA V PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053332

License Status

CANCELLED

Business

Title

First Name

NISHA

Middle

Last Name

PATEL

Business Name

NISHA V PATEL MD

Original Issue Date

06/20/2007

Effective Date

06/20/2007

Expiration Date

06/19/2010

City

ARLINGTON HEIGHTS

State

Zip

60004

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/25/2007