JAY ASHWINBHAI PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066968

License Status

EXPIRED

Business

Title

First Name

JAY

Middle

ASHWINBHAI

Last Name

PATEL

Business Name

JAY ASHWINBHAI PATEL MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/25/2018