AMI PIYUSH PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071527

License Status

CANCELLED

Business

Title

First Name

AMI

Middle

PIYUSH

Last Name

PATEL

Business Name

AMI PIYUSH PATEL DO

Original Issue Date

06/29/2017

Effective Date

06/29/2017

Expiration Date

06/28/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/29/2017