MANISH PATEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080304

License Status

CANCELLED

Business

Title

First Name

MANISH

Last Name

PATEL

Business Name

MANISH PATEL MD

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Interventional Radiology - Integrated

Ever Disciplined

LastModifiedDate

03/16/2025