PAAYAL KIRANKUMAR PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057178

License Status

CANCELLED

Business

Title

First Name

PAAYAL

Middle

KIRANKUMAR

Last Name

PATEL

Business Name

PAAYAL KIRANKUMAR PATEL MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

05/29/2012