SAMIT DILIP PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064027

License Status

CANCELLED

Business

Title

First Name

SAMIT

Middle

DILIP

Last Name

PATEL

Business Name

SAMIT DILIP PATEL MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014