MANALI A PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063062

License Status

CANCELLED

Business

Title

First Name

MANALI

Middle

Last Name

PATEL

Business Name

MANALI A PATEL MD

Original Issue Date

06/25/2013

Effective Date

06/25/2013

Expiration Date

06/24/2016

City

GENEVA

State

Zip

60134

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014