GEETA BOLLAM PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058995

License Status

EXPIRED

Business

Title

First Name

GEETA

Middle

BOLLAM

Last Name

PATEL

Business Name

GEETA BOLLAM PATEL MD

Original Issue Date

11/23/2010

Effective Date

11/23/2010

Expiration Date

11/22/2012

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/11/2013