DHARA PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076452

License Status

CANCELLED

Business

Title

First Name

DHARA

Last Name

PATEL

Business Name

DHARA PATEL DO

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

06/22/2023

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/09/2020