SHAWN J PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073287

License Status

CANCELLED

Business

Title

First Name

SHAWN

Middle

Last Name

PATEL

Prefix

Business Name

SHAWN J PATEL DO

Original Issue Date

06/30/2018

Effective Date

06/30/2018

Expiration Date

06/29/2021

City

HUNTLEY

State

Zip

60142

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/21/2018