JAYMON BHASKER PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064060

License Status

CANCELLED

Business

Title

First Name

JAYMON

Middle

BHASKER

Last Name

PATEL

Business Name

JAYMON BHASKER PATEL MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

PEORIA

State

Zip

61606

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014