DIPABEN BHADRESHBHAI PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057356

License Status

CANCELLED

Business

Title

First Name

DIPABEN

Middle

BHADRESHBHAI

Last Name

PATEL

Business Name

DIPABEN BHADRESHBHAI PATEL MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/08/2010