PRANAV UPENDRA PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066862

License Status

EXPIRED

Business

Title

First Name

PRANAV

Middle

UPENDRA

Last Name

PATEL

Business Name

PRANAV UPENDRA PATEL MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018