NIYATEE DIPAK PATEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081024

License Status

EXPIRED

Business

Title

First Name

NIYATEE

Middle

DIPAK

Last Name

PATEL

Business Name

NIYATEE DIPAK PATEL MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025