PRIYA INDRAVADAN PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076833

License Status

CANCELLED

Business

Title

First Name

PRIYA

Middle

INDRAVADAN

Last Name

PATEL

Business Name

PRIYA INDRAVADAN PATEL DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

LA GRANGE

State

Zip

60525

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/27/2020