PREM PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077814

License Status

EXPIRED

Business

Title

First Name

PREM

Last Name

PATEL

Business Name

PREM PATEL DO

Original Issue Date

06/16/2021

Effective Date

06/16/2021

Expiration Date

06/30/2022

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/11/2022