MANSI SUNIL PATEL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079320

License Status

CANCELLED

Business

Title

First Name

MANSI

Middle

SUNIL

Last Name

PATEL

Business Name

MANSI SUNIL PATEL DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CHICAGO

State

Zip

60638

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/23/2024