LISA PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071833

License Status

CANCELLED

Business

Title

First Name

LISA

Last Name

PATEL

Business Name

LISA PATEL MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

KANKAKEE

State

Zip

60901

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/07/2018