DIPAL DILIPBHAI PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058320

License Status

CANCELLED

Business

Title

First Name

DIPAL

Middle

DILIPBHAI

Last Name

PATEL

Business Name

DIPAL DILIPBHAI PATEL MD

Original Issue Date

07/02/2010

Effective Date

07/02/2010

Expiration Date

07/01/2013

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/21/2010