DHAVAL KIRIT PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069710

License Status

EXPIRED

Business

Title

First Name

DHAVAL

Middle

KIRIT

Last Name

PATEL

Business Name

DHAVAL KIRIT PATEL DO

Original Issue Date

08/26/2016

Effective Date

08/26/2016

Expiration Date

08/25/2019

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/13/2020