JAY BABULAL PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058730

License Status

EXPIRED

Business

First Name

JAY

Middle

BABULAL

Last Name

PATEL

Suffix

Business Name

JAY BABULAL PATEL DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/07/2013