MANISH ASHOK PATEL Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061030

License Status

CANCELLED

Business

First Name

MANISH

Middle

ASHOK

Last Name

PATEL

Business Name

MANISH ASHOK PATEL

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014