SHRUTI PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074062

License Status

CANCELLED

Business

Title

First Name

SHRUTI

Last Name

PATEL

Business Name

SHRUTI PATEL DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/16/2019