PAYAL JWRAJ PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055987

License Status

EXPIRED

Business

Title

First Name

PAYAL

Middle

JWRAJ

Last Name

PATEL

Business Name

PAYAL JWRAJ PATEL DO

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012