SHYAM V PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067572

License Status

CANCELLED

Business

Title

First Name

SHYAM

Middle

Last Name

PATEL

Business Name

SHYAM V PATEL DO

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

Family Medicine

Ever Disciplined

LastModifiedDate

08/24/2022

Case Number

2017005977

Action

Reprimand

Discipline Start Date

08/19/2022

Discipline Reason

temporary medical permit reprimanded due to termination from residency program in June 2017.