BIRJU DIVYANGKUMAR PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077598

License Status

CANCELLED

Business

Title

First Name

BIRJU

Middle

DIVYANGKUMAR

Last Name

PATEL

Business Name

BIRJU DIVYANGKUMAR PATEL MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/22/2021