MITAL KISHOR PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056474

License Status

CANCELLED

Business

Title

First Name

MITAL

Middle

KISHOR

Last Name

PATEL

Business Name

MITAL KISHOR PATEL MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

ROLLING MEADOWS

State

Zip

60008

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/05/2010