NISHA I. PATEL DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078301

License Status

EXPIRED

Business

Title

First Name

NISHA

Middle

Last Name

PATEL

Business Name

NISHA I. PATEL DO

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

06/25/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/30/2024