BHAVIN PATIDAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057275

License Status

NOT RENEWED

Business

First Name

BHAVIN

Last Name

PATIDAR

Suffix

Business Name

BHAVIN PATIDAR MD

Original Issue Date

01/04/2013

Effective Date

01/04/2013

Expiration Date

01/03/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

08/12/2014