DISHA RAJENDRA PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069085

License Status

EXPIRED

Business

Title

First Name

DISHA

Middle

RAJENDRA

Last Name

PATEL

Business Name

DISHA RAJENDRA PATEL DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

08/25/2020

City

WHEATON

State

Zip

60187

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

11/19/2020