SHIRALI GAURANG PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061739

License Status

EXPIRED

Business

Title

First Name

SHIRALI

Middle

GAURANG

Last Name

PATEL

Business Name

SHIRALI GAURANG PATEL DO

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

PARK RIDGE

State

Zip

60608

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015