KISHAN J PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076572

License Status

EXPIRED

Business

Title

First Name

KISHAN

Middle

Last Name

PATEL

Business Name

KISHAN J PATEL MD

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

06/24/2021

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022