KAVITA PRAVIN PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075631

License Status

CANCELLED

Business

Title

First Name

KAVITA

Middle

PRAVIN

Last Name

PATEL

Business Name

KAVITA PRAVIN PATEL MD

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2023

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/19/2020