CHARMI PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073306

License Status

CANCELLED

Business

Title

First Name

CHARMI

Last Name

PATEL

Business Name

CHARMI PATEL MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/07/2018