SHALINI SHASHI PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064094

License Status

EXPIRED

Business

Title

First Name

SHALINI

Middle

SHASHI

Last Name

PATEL

Business Name

SHALINI SHASHI PATEL MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/16/2016