EKTA U PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065735

License Status

EXPIRED

Business

Title

First Name

EKTA

Middle

Last Name

PATEL

Business Name

EKTA U PATEL DO

Original Issue Date

06/22/2014

Effective Date

06/22/2014

Expiration Date

06/21/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/19/2017