AMISH V PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055588

License Status

EXPIRED

Business

Title

First Name

AMISH

Middle

Last Name

PATEL

Business Name

AMISH V PATEL MD

Original Issue Date

12/01/2008

Effective Date

12/01/2008

Expiration Date

11/30/2011

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/18/2012