KETAN J PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065216

License Status

CANCELLED

Business

Title

First Name

KETAN

Middle

Last Name

PATEL

Business Name

KETAN J PATEL MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

ARLINGTON HEIGHTS

State

Zip

60005

County

DUPAGE

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

04/24/2015