AMESH J PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056964

License Status

CANCELLED

Business

Title

First Name

AMESH

Middle

Last Name

PATEL

Business Name

AMESH J PATEL MD

Original Issue Date

07/12/2012

Effective Date

07/12/2012

Expiration Date

10/11/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/12/2012