MADHVI HIREN PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054835

License Status

CANCELLED

Business

Title

First Name

MADHVI

Middle

HIREN

Last Name

PATEL

Business Name

MADHVI HIREN PATEL MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/24/2008