BRIJ ASHOKKUMAR PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074565

License Status

CANCELLED

Business

Title

First Name

BRIJ

Middle

ASHOKKUMAR

Last Name

PATEL

Business Name

BRIJ ASHOKKUMAR PATEL MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2019