NIKETA AJAY PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062694

License Status

CANCELLED

Business

First Name

NIKETA

Middle

AJAY

Last Name

PATEL

Suffix

Business Name

NIKETA AJAY PATEL DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014