SEJAL S PATEL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058876

License Status

CANCELLED

Business

First Name

SEJAL

Middle

Last Name

PATEL

Business Name

SEJAL S PATEL

Original Issue Date

08/26/2013

Effective Date

08/26/2013

Expiration Date

10/25/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/26/2013