AMIT BALDEV PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070467

License Status

CANCELLED

Business

Title

First Name

AMIT

Middle

BALDEV

Last Name

PATEL

Business Name

AMIT BALDEV PATEL DO

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/04/2017