JAY A PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069352

License Status

CANCELLED

Business

Title

First Name

JAY

Middle

Last Name

PATEL

Business Name

JAY A PATEL DO

Original Issue Date

10/11/2017

Effective Date

10/11/2017

Expiration Date

10/10/2019

City

URBANA

State

Zip

61801

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2017